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of the Commonwealth of Pennsylvania

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    Report an Agreement to Stop Weekly Workers' Compensation Payments - Final Receipt

    Submit an agreement to stop weekly Workers' Compensation Payments here

    Report an Agreement to Stop Weekly Workers' Compensation Payments - Final Receipt

    The Agreement to Stop Weekly Workers' Compensation Payments Final Receipt signifies the end of a weekly workers' compensation payment plan and the transition to a lump-sum settlement. It includes details about the employer, employee, and the settlement amount. There are two types of settlements: the Lump-Sum Settlement Final Receipt, issued after the lump-sum settlement, and the Weekly Payment Final Receipt, issued after completing weekly payments. Both receipts are provided by L&I.

    To begin the process, start here.

    To file online or by mail, click the links below. 

    Report online
    Report by mail

    Frequently Asked Questions

    You can file in two ways: online or through the 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

    717-772-3702

    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

    Mail

    Related Services

    • Report an Employee Injured on the Job
    • Report an Agreement for Compensation for Disability or Permanent Injury
    • Report a Supplemental Agreement for Compensation for Disability or Permanent Injury
    • Report an Agreement for Compensation for Death
    • Report an Agreement for Supplemental Compensation for Death
    • Report a Third Party Settlement Agreement
    • Report the Suspension or Modification of Workers' Compensation Benefits
    • File a Statement of Wages
    • Report a Notice of Change of Workers' Compensation Disability Status 
    • Sign Up for Workers' Compensation Email Updates
    • File a Workers' Compensation Claim Petition
    • File a Workers' Compensation Claim Petition for Additional Compensation
    • File a Workers' Compensation Claim Petition for Occupational Disease
    • File an Appeal of a Workers' Compensation Judge's Decision
    • File a Claim Petition for Benefits from an Uninsured Employer
    • Apply for State Workers' Insurance Fund (SWIF) Coverage
    • Sign Up for Workers' Compensation Annual Conference Emails
    • Find and Register for PATHS Workplace Safety Training
    • Apply for a Workplace Safety Committee Certification
    • Renew a Workplace Safety Committee Certification