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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
Gather all necessary information: You will need details about your injury or illness, such as the date it occurred, where it happened, and how it happened. You will also need your employer's information and any relevant medical records.
02
Notify your employer: Inform your employer as soon as possible about your injury or illness. This is typically done by filling out a specific form provided by your employer. Make sure to provide all necessary details accurately.
03
Seek medical treatment: Visit a healthcare provider to receive appropriate medical treatment for your injury or illness. Make sure to inform them that your condition is related to a work-related incident.
04
Complete the necessary forms: Your employer or insurance carrier will provide you with forms to complete. These forms will require you to provide details about your injury or illness, medical treatment received, and any other relevant information.
05
Submit the forms and supporting documentation: Once you have completed the forms, submit them to your employer or insurance carrier. Include any supporting documents, such as medical records or witness statements, to strengthen your claim.
06
Follow up with your employer and insurance carrier: Stay in communication with your employer and insurance carrier throughout the process. They may require additional information or documentation. Keep copies of all correspondence and documentation.
07
Cooperate with investigations: Your employer or insurance carrier may conduct investigations to verify the accuracy of your claim. Provide any requested information or assistance to facilitate the investigations.
08
Keep track of your benefits: Keep a record of all benefits you receive, including medical expenses, lost wages, and any other compensation. This will help ensure you receive the full benefits you're entitled to.
09
Consult with an attorney if necessary: If you encounter any challenges or disputes during the workers' compensation process, consider consulting with an attorney who specializes in workers' compensation law. They can provide guidance and advocate for your rights.
10
Follow all instructions and attend required appointments: Comply with any instructions provided by your employer or insurance carrier. Attend all required medical appointments and follow through with recommended treatment plans.
Who needs your workers compensation benefits?
01
Workers who have sustained work-related injuries or illnesses are eligible for workers' compensation benefits. This includes employees in both public and private sectors.
02
Employers are required by law to provide workers' compensation benefits to their employees, regardless of fault. Thus, anyone who is injured or falls ill due to their job may need to access these benefits.
03
Workers' compensation benefits help cover medical expenses, lost wages, rehabilitation costs, and disability payments for individuals who have been injured or become ill while performing their job duties. It serves as a financial safety net for eligible workers and can assist in their recovery and rehabilitation.
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