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  1. If you are injured or become ill, either physically or mentally, because of your job, including injuries resulting from a workplace crime, you may be entitled to workers’ compensation benefits. Use the attached form to file a workers’ compensation claim with your employer. You should read all of the information below.

  2. including injuries resulting from a workplace crime, you may be entitled to workers’ compensation benefits. Use the attached form to file a workers’ compensation claim with your employer. You should read all of the information below. Keep this sheet and all other papers for your records. You may be eligible

  3. Forms. Forms are grouped by relevant subject, then in alphabetical order. Use the arrows to change to reverse alphabetical order or search by form number. The ten most-downloaded forms also appear in the “ Frequently used forms ” section.

  4. Accidents happen and when they do, Employers has your business covered. Find all of the California workers compensation forms & resources you need to file a claim.

  5. Free. If an employee suffers a work-related injury or illness, he or she may be entitled to workers' compensation benefits. Give this form to the employee and have them complete the "Employee" section and then return the form to you.

  6. DWC Form 1. If you are injured or become ill, either physically or mentally, because of your job, including injuries resulting from a workplace crime, you may be entitled to workers’ compensation benefits. Attached is the form for filing a workers’ compensation claim with your employer.

  7. 14 wrz 2022 · Learn how to get workerscomp benefits for an injury at work in California. Learn how to file a claim, what forms you must submit, & deadlines you must meet.

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