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RECEIVED BY CLAIMSHANDLING ENTITYFIRST REPORT OF INJURY OR ILLNESSES TO DIVISION DATEDIVISION RECEIVED DATEFLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS COMPENSATION For assistance
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Gather all relevant information about the workers compensation claim, including employee details, injury details, and medical records.
02
Determine the appropriate division or category for the workers compensation claim, such as temporary disability, permanent disability, medical benefits, or vocational rehabilitation.
03
Fill out the division of workers compensation form accurately and completely, providing all required information and supporting documentation.
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Review the completed form for any errors or missing information before submitting it.
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Submit the filled out division of workers compensation form to the appropriate authority or insurance company, following their specific submission guidelines.
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Keep copies of all submitted documents for reference and record-keeping purposes.
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Follow up with the appropriate authority or insurance company to ensure the claim is processed correctly and timely.

Who needs division of workers compensation?

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Anyone who has suffered a work-related injury or illness and is therefore entitled to receive workers compensation benefits needs division of workers compensation.
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Employers also need division of workers compensation to accurately assess and manage workers compensation claims and determine the appropriate benefits to be provided.
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The Division of Workers Compensation (DWC) is a state agency that administers and regulates the workers' compensation system in California.
Employers in California are required to file division of workers compensation forms.
Division of workers compensation forms can be filled out online or submitted by mail.
The purpose of division of workers compensation is to ensure that injured workers receive appropriate benefits and that employers comply with state workers' compensation laws.
Information such as employee injuries, treatment received, and benefits paid must be reported on division of workers compensation forms.
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