When you become injured at your job, you may be entitled to receive benefits to compensate you for medical treatment and the time spent not working during your recovery. In order to qualify to receive workers’ compensation benefits, you must report the injury to your Supervisor as soon as possible. You must then complete the necessary documentation required by the California State Division of Workers’ Compensation (DWC) to begin receiving your benefits.
1. Get immediate medical care if necessary
If the injury is one that requires emergency care, that is your first priority. If less serious, get first aid and then see your doctor if necessary. If possible, inform the hospital or doctor that the injury is from a work-related accident or incident. If the injury is one that requires emergency care, that is your first priority. If less serious, get first aid and then see your doctor if necessary. If possible, inform the hospital or doctor that the injury is from a work-related accident or incident.
2. Obtain a Claim Form
3. Complete the DWC-1 carefully
If you feel medical treatment is needed, you should complete and submit the DWC-1. Complete only the “Employee” section of the form.
This form is going to ask you for the following information:
- Your Name
- Your Address
- Date and time of the injury
- Address and description of the location where the injury occurred. It is good to be descriptive here
- Injury you sustained and the body part affected. Again, be descriptive and complete.
- Your Signature
4. Submit the DWC-1 to your employer
Make sure that you keep a copy of the form before submitting it. Your Supervisor/HR Representative is then required to complete the “Employer” section of the form and return a signed copy to you within one working day. If you do not receive the completed Employer’s copy, you should ask about getting it. You may turn in the copy by hand or by mail. If you are mailing the form, you should use certified mail, return receipt requested, so you have a copy of the date that you sent the form and the date it was received.
5. Obtain medical treatment from a designated provider
6. Wait to hear from the County's Third Party Administrator (TPA)
After the Department completes the form that you have submitted, the form is sent to the designated TPA, where your claim will be assigned to an examiner. You should be contacted by your claims examiner within four business days. To find the status of your claim, go to Claim Status.