Workers Compensation professionals - working together for best results!


Attendee Registration

You May Pay by Credit Card or Check

Complete and submit this secure, online registration form with your credit card payment, to immediately secure your place at the 2021 Worker's Compensation Conference.
Or click <<HERE>> for a downloadable PDF of the Registration Form.
**If mailing a check payment, you must still submit this registration form. An invoice will be automatically emailed to you after submittal. Please mail payment within 5 days of registering online. Include your payment, your Order Number in memo field, and a copy of your emailed invoice. Mail to:
1750 K Street NW, Suite 700
Washington, DC 20006
ID # 52-1353216

2021 REGISTRATION FEES (Per Person Rates)
 By 7/31/2021After 7/31/2021
4 Or More*$250$250

* 4 or more registered at the same time will pay one at full price ($275 by 7/31; $325 after 7/31), then $250 for each additional attendee.

** Only ONE Companion allowed per registrant. Companions are persons who accompany the registered individual for personal reasons as distinguished from someone with a professional interest in workers' compensation. Companion registration includes social events only. (Companions are not allowed to attend the trade show exhibits or CE sessions and will be issued GUEST Badges that must be worn at all times.)

4% Service fee charges will be added to credit card payments. These are calculated by credit card companies based on transaction amounts and are not collected by the MWCEA.

Print Deadline: All registrations, sponsorships, exhibitor, advertising, contributions and artwork must be postmarked or submitted, and paid, by August 15, 2021 to guarantee placement in the MWCEA Conference Book.


Please complete as much of the following form as possible.
Contact information submitted will be printed in Attendee Directory.
(Mandatory information is labeled in red)

Office Information

Additional Information

Do you plan to register onsite for CEU?
Are you an Exhibitor?
What format do you wish to receive Conference Materials in?
* A $25 Conference Book Charge will apply on-site if you select electronic format now, then want a hard copy at the conference.


1 @
(10 maximum)
1 to 3 (including Yourself) @ $275.00 each.
For 4 or more, all Additional Registrants are @ $250.00 each.
I understand that the companion registration does NOT include access to the booths, trade show, CE sessions or Lunch & Learn. Access is to Social Events ONLY. Companions will be issued GUEST Badges that must be worn at all times. (Please check box to signify you have read and understand.)
The early bird rate $275 is only good if registration is PAID for and received by July 31, 2021. If paying by check, please register by July 20. Afterwards, payment MUST be received by MWCEA within 10 days of registration. All registrations not paid by July 31 will automatically be increased to the regular conference rate $325.
Additional Registrant Details

# First Name Last Name Title Industry
* A $25 Conference Book Charge will apply on-site if you select electronic format now, then want a hard copy at the conference.

Additional Registration Options
 Yes! Please RSVP me for the Lunch & Learn Session on Monday:
 Yes! Please RSVP me for the Lunch & Learn Session on Tuesday:
 Yes! Please RSVP me for the Raffle Drawing on Wednesday:
I confirm that I have read, understand, and agree to the COVID-19 Notice.

All discounted registrations must be from the same entity, combined and submitted at the same time.
Refund, Payment and Cancellation Policies
Refund Policy

No Refunds will be granted. Registration fees are transferrable.

Payment Policy

The acceptable methods of payment are checks, cashier's checks, money orders or credit card. All payments must be made by August 15, 2021 to be included in the MWCEA Annual Program Directory. All early bird fees must be paid prior to July 31, 2021 or will automatically increase to the regular attendee registration fee.

Cancellation Policy

All cancellations MUST be submitted in writing (emailed to Telephone requests WILL NOT be honored. Paid registration (attendee or exhibitor) fees will be transferred or credited. The registrant will be held responsible for any unpaid registration fees, regardless if they do not attend the conference.