Regardless of whether a workers’ compensation settlement is finalized before a Circuit Court Judge or an ADOL Ombudsman, the ADOL Workers’ Compensation Division, must receive a completed WC-4 Claim Summary Form that identifies the county where the settlement was finalized.  This is a non-issue for court approved documents since they always reflect the county of filing.  However, for ombudsman settlements it is also required that the county be reflected on the WC-4.

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