Alexa Seleno
@alexaseleno

FAQ | News | Contact

City Of Racine, Wisconsin Authorization For Treatment

Ensuring Your Safety and Well-being

The City is committed to your safety at work. Explore our workers’ compensation resources to learn about your rights and the support available in case of workplace injuries or illnesses.

  • A
  • CITY OF RACINE, WISCONSIN AUTHORIZATION FOR TREATMENT, DISCLOSURE OF MEDICAL RECORDS AND PAYMENT FOR WORKER’S COMPENSATION INJURY

Download Authorization for Treatment, Disclosure of Medical Records & Payment for Worker’s Compensation Injury Form