Social Security Information Request {WKC-6156}

WKC-6156-E - SOCIAL SECURITY INFORMATION REQUEST. This form is used by insurance companies to obtain information from the Social Security Administration that is necessary for calculating worker’s compensation benefits under the Wisconsin Worker’s Compensation Act. This form allows an employee to authorize the release of Social Security disability benefit information to their insurance company representative or self-insured employer. The information collected helps determine the amount of worker’s compensation payments an injured worker is entitled to, including details about the status of disability claims, benefit amounts, and entitlement dates. Completing and submitting this form ensures accurate benefit calculations and prevents unnecessary delays in processing worker’s compensation claims. Failure to provide the required authorization may result in a reduction of benefits until the signed form is received. www.FormsWorkflow.com