State Forms

forms

Workers' Compensation


Temporary Disability Insurance (TDI)

For employees:

Claim forms are not available online. Ask your employer for a claim form or contact us if your employer does not have the claim form.

FOR EMPLOYERS:

Prepaid Healthcare (PHC)

  • HC-5 Employee Notification to Employer: 2017 | 2018

For employers:

For Health care Contractors:

General Forms

 

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Next HIWA Meeting

Hawaii Injured Workers Meetings 2017

Our Non-Profit Status

 

On 12/12/2012 HIWA was granted its non-profit status by the IRS, effective as of 11/30/2011

ER ID No. 45-4038392

 

Donate Today

 

HIWA is a 501(c) (3) non-profit organization

Call: (808) 538-9771