Effective January 1, 2020, the Alabama Department of Labor, Workers’ Compensation Division, must receive a completed WC-4 Claim Summary Form for all Alabama Workers’ Compensation settlements regardless of whether the settlement goes before a Circuit Court Judge or an ADOL Ombudsman.


Forms are to be sent to:


Earlene Holland:             earlene.holland@labor.alabama.gov

Phone or FAX   334-956-4031


Christine Dunn:              Christine.dunn@labor.alabama.gov

Phone or FAX 334-956-4032