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State of California Department of Industrial Relations DIVISION OF WORKERS' COMPENSATION WORKERS' COMPENSATION CLAIM FORM (DWC 1) Employee: Complete the Employ e” section and give the form to your
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What is dwc form 1?
DWC Form 1 is a form used for reporting workplace injuries and illnesses to the Division of Workers' Compensation (DWC).
Who is required to file dwc form 1?
Employers are required to file DWC Form 1 when an employee has a work-related injury or illness that requires medical treatment beyond first aid.
How to fill out dwc form 1?
DWC Form 1 can be filled out by providing accurate information about the injured employee, their employer, the nature of the injury/illness, medical treatment details, and other required information as outlined in the form.
What is the purpose of dwc form 1?
The purpose of DWC Form 1 is to ensure that workplace injuries and illnesses are properly reported to the Division of Workers' Compensation for record-keeping, statistical analysis, and regulatory compliance purposes.
What information must be reported on dwc form 1?
DWC Form 1 requires reporting of information such as employee details, employer details, injury/illness details, medical treatment details, dates of occurrence, and other relevant information as specified in the form.
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