Report a Supplemental Agreement for Compensation for Disability or Permanent Injury

Form LIBC-337, a Supplemental Agreement for Compensation for Disability or Permanent Injury, can modify Form LIBC-336, LIBC-338, LIBC-495, or an award. LIBC-337 must be filled out and signed by both employer and employee before completion.

Report a Supplemental Agreement for Compensation for Disability or Permanent Injury

Termination, suspension, modification, or other change in compensation can be done by filing LIBC-337, a Supplemental Agreement for Compensation for Disability or Permanent Injury. This form can modify LIBC-336, LIBC-338, LIBC-495, or an award. LIBC-337 must be filled out and signed by both employer and employee or dependents, completed and filed with the Bureau.

To begin the process, click here.

Report now.

Frequently Asked Questions

Some of the more frequently asked questions about Workers' Compensation are addressed here. For more information, please contact BWC directly.

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)

Contact Us

Helpline voice telephone numbers:toll free in Pennsylvania: 800-482-2383local 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

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

717-772-4447

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