Find the Right California Workers' Comp Form

Throughout the course of any Workers’ Compensation case, an injured worker will receive a wide variety of forms, regarding everything from medical treatment to financial benefits. It is extremely important to read the forms carefully, and contact an attorney to confirm what action, if any, needs to be taken. Keep in mind that many of these forms include strict timelines that must be met.

Workers’ Compensation Claim Form (DWC-1)

Download Form

This form is required to initiate a claim for workers’ compensation benefits. Per current law, a verbal report of an injury is not sufficient to initiate a claim for benefits.

This form can be obtained directly from your employer, who is supposed to provide it within 24 hours of a reported injury claim. Or, you can obtain a copy here.

It is important to list any and all parts of body or medical conditions that you relate to your injury when you first fill out this form. Failure to do so could result in delays in your case. After you have filled out the top portion of the form, you are to submit to your employer and they should give you and/or you should request a copy after they fill out the bottom portion.

Do I have a case? Free Case Evaluation.

Click Here

© 2017 GEKLAW, Inc. All Rights Reserved.

Personal Injury · Disclaimer · Privacy · Sitemap

Back to top