Admission To Service And Answer To Application {WKC-19-DHA-E}

WKC-19-DHA-E - ADMISSION TO SERVICE AND ANSWER TO APPLICATION. This form is used in Wisconsin Worker’s Compensation proceedings when a formal claim has been filed with the Division of Hearings and Appeals. This form must be completed and returned by the respondent—typically the employer, the insurance carrier, or both—within 20 days of receiving the application for a hearing. Its primary purpose is to document which facts or allegations in the worker’s compensation claim are admitted, denied, or in dispute, such as the occurrence of an injury, the employment relationship, the employee’s wage rate, the extent of disability, or whether proper notice of injury was given. The form also requires the respondent to identify any additional parties they believe should be joined in the case, and whether they are asserting defenses such as employee misconduct, safety violations, or drug/alcohol policy violations. Employers must answer directly regarding certain statutory penalties or violations, even if the insurance company is defending the claim. Failure to timely respond may result in a default judgment against the respondent. www.FormsWorkflow.com