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    File a Statement of Wages

    File a statement of wages for injuries occurring on or after June 24, 1996.

    File a statement of wages

    File a Statement of Wages for Injuries Occurring on or after June 24, 1996

    Accurately complete the Statement of Wages form following the guidelines of the Pennsylvania Workers’ Compensation Act and submit it per the instructions in the EDI Implementation Guide for specific EDI transactions. A duplicate should be provided to the injured employee.

    The term "average weekly wage" is utilized to calculate the weekly compensation for wage-loss benefits as outlined in the Pennsylvania Workers’ Compensation Act. For assistance in determining the weekly compensation rate, a chart is accessible from the Bureau of Workers’ Compensation and can be found online at www.dli.pa.gov.

    To begin the process, click here.

    Click below to file today.

    File here

    Frequently Asked Questions

    You can file through mail.

    Use this guide to help you understand the Workers' Compensation claim process.

    Contact Us

    Helpline voice telephone numbers:toll free in Pennsylvania: 800-482-2383 local and outside Pennsylvania: 717-772-4447. Hearing impaired individuals, or those who have difficulty speaking, may contact the PA Department of Labor & Industry’s Bureau of Workers’ Compensation by dialing 7-1-1 and providing the relay service with the bureau’s phone number 717-772-4447.

    By phone

    For general questions, contact BWC.

    Call BWC

    By phone

    For general questions, contact BWC.

    Hearing impaired individuals can contact BWC by dialing 7-1-1 and providing the relay service with BWC's phone number.

    By email

    You can email questions to BWC.

    Email BWC

    By mail

    You can send questions or paper applications to: Bureau of Workers' Compensation 651 Boas Street, 8th Floor Harrisburg, PA 17121