Draft a QRC change notice letter

This tool helps you draft a plain-English notice letter to an insurance adjuster and your current QRC when you want to select a new QRC. In Minnesota, there is a 60-day window to choose a different QRC without insurer permission — and the clock starts from the date the rehabilitation plan (R-2) is filed, not your injury date and not the date you first met the QRC.

In Minnesota, you can usually change your Qualified Rehabilitation Consultant (QRC) within 60 days after the rehab plan (R-2) is filed by giving written notice.

• Based on Minn. Stat. § 176.102 and Minn. R. 5220.0710
• Generates a copy/paste letter and a downloadable receipt
• Nothing is saved unless you choose to

Minn. Stat. § 176.102 Minn. R. 5220.0710 60-day rule guide

Reviewed by Dan Swenson, Minnesota workers' comp attorney.

Not sure when your R-2 was filed?

Call the Minnesota Department of Labor & Industry (Workers’ Compensation Help Desk):651-284-5005 (press 3) or 800-342-5354 (press 3).

Your information

Fill in what you know. If you leave something blank, the letter will include a bracketed placeholder.

Today’s date (YYYY-MM-DD)

Employee name

Date of injury (optional)

Claim # / WID # (optional)

Insurer / TPA (optional)

Employer (optional)

Adjuster

Adjuster name (optional)

Adjuster email (optional)

Current QRC

Current QRC name (optional)

Current QRC email (optional)

R-2 filing date (optional, but helpful)

The 60-day clock runs from the date the rehabilitation plan (R-2) is filed.

Draft letter

Copy and paste into an email, letter, or your attorney portal.

Selected new QRC

None selected. Pick a QRC from the directory and use the “Draft change letter” button on their profile.

Tip: You can also bookmark a link like http://localhost:3000/tools/change-qrc-letter?new=veronica-alba (replace the slug).

2026-02-24

VIA EMAIL AND U.S. MAIL

Adjuster: [Adjuster name]
Email: [Adjuster email]
[Insurer / TPA]

CC:
• Current QRC: [Current QRC name] ([Current QRC email])
• New QRC: [Select a QRC from the directory]

RE: [Employee name]
Subject: NOTICE OF EMPLOYEE SELECTION / CHANGE OF QRC

This letter provides notice that the employee, [Employee name], is selecting a different Qualified Rehabilitation Consultant (QRC) within 60 days after the rehabilitation plan (R-2) was filed. (If you contend the 60-day period has expired, please provide the R-2 filing date and the basis for the objection.)
This selection is made under Minn. Stat. § 176.102, subd. 4(a), and Minn. R. 5220.0710 (change of QRC).


Please update your file to reflect this change, confirm in writing that rehabilitation services will continue, and coordinate transfer of rehabilitation records and the rehabilitation plan file to the newly selected QRC.

Sincerely,

[Employee name]

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Optional note:
If you have questions about the 60-day rule (or you are unsure when the R-2 was filed), you can contact the Minnesota Department of Labor & Industry (Workers’ Compensation Help Desk) at 651-284-5005 (press 3) or 800-342-5354 (press 3).

This template is educational and is not legal advice.

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Want an attorney to sanity-check this?

If you’re within 60 days of the R-2 being filed (or you’re not sure), you can call or text Dan Swenson directly at (651) 283-8747. You’ll talk to an attorney right away — no assistant, no answering service, no AI.

If you only have one specific question and you don’t want to hire a lawyer, that’s fine — just say so and get right to the question.