Get Insurer 's Termination Of Temporary Total Disability Benefits C-06. Notification To The Commission

This guide will walk you through the process of completing the insurer's termination of temporary total disability benefits C-06 notification to the commission online. By following these steps, you can ensure that your form is accurately filled out and submitted correctly.

Follow the steps to complete your form accurately and efficiently.

1. Press the ‘Get Form’ button to access the form, which will open in an editable format.
2. Enter the WCC claim number at the designated field to identify your case.
3. Fill in the claimant's information including their name and contact details.
4. Complete the employer's name and details in the respective section.
5. Input the insurer's details, ensuring all contact information is accurate.
6. Specify the date for the last temporary total disability compensation check in the given section.
7. Select or fill in the reason(s) for termination of benefits based on the options provided, such as returning to work or lack of medical documentation.
8. Provide the necessary details to support the chosen termination reason, including relevant dates.
9. Add the contact information for the insurer representative, including their name and telephone number, ensuring accessibility for the claimant.
10. Review the certification of service section, signing and dating the form to confirm that copies of the notification have been mailed to all parties involved.
11. After completing the form, ensure to save your changes, with options to download, print, or share the completed form as needed.

Complete your documents online today to ensure timely processing of your claim.