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TIME OF HIRE PAMPHLET
This pamphlet, or a similar one that has been approved by the Administrative Director, must be
given to all newly hired employees in the State of California. Employers and claims
administrators
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How to fill out your workers compensation benefits

How to fill out your workers compensation benefits
01
Report the injury or illness to your employer as soon as possible.
02
Seek immediate medical attention if necessary.
03
Fill out the workers compensation claim form provided by your employer.
04
Provide all necessary documentation, such as medical records and proof of lost wages.
05
Cooperate with any investigations conducted by your employer's insurance company.
06
Follow all recommended medical treatments and attend scheduled appointments.
07
Keep a record of all expenses related to your injury, including medical bills and transportation costs.
08
Submit all required forms and documents to the appropriate workers compensation board or agency.
09
Stay in communication with your employer and insurance company throughout the process.
10
Consult with an attorney specializing in workers compensation if necessary.
Who needs your workers compensation benefits?
01
Anyone who suffers a work-related injury or illness may be eligible for workers compensation benefits.
02
This includes employees, contractors, and temporary workers.
03
Workers compensation benefits provide financial assistance for medical expenses, lost wages, and rehabilitation services.
04
Furthermore, it can also provide death benefits to the dependents of a worker who died due to a work-related incident.
05
It is essential to report the injury or illness promptly and follow the necessary steps to access these benefits.
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What is your workers compensation benefits?
Workers compensation benefits are financial assistance provided to employees who are injured or become ill while performing their job duties.
Who is required to file your workers compensation benefits?
Employers are required to file workers compensation benefits on behalf of their employees.
How to fill out your workers compensation benefits?
To fill out workers compensation benefits, employers must gather information about the employee's injury or illness, provide necessary documentation, and submit the claim to the appropriate insurance carrier.
What is the purpose of your workers compensation benefits?
The purpose of workers compensation benefits is to provide financial support to employees who are unable to work due to a work-related injury or illness.
What information must be reported on your workers compensation benefits?
Information that must be reported on workers compensation benefits includes details of the employee's injury or illness, medical treatment received, and time missed from work.
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