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PRINTCLEARSTATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS Division of Workers\' Compensation Notice to EmployeesInjuries Caused By Work You may be entitled to workers\' compensation benefits
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How to fill out workers compensation

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How to fill out workers compensation

01
Report the injury or illness to your employer immediately.
02
Fill out the workers compensation claim form provided by your employer.
03
Make sure to provide all necessary information, including details of the injury or illness, how it occurred, and any medical treatment received.
04
Submit the completed claim form to your employer's workers compensation insurance provider.
05
Keep copies of all documentation related to your workers compensation claim.

Who needs workers compensation?

01
Workers compensation is typically required for employees who are injured or become ill as a result of their work.
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Workers compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment.
Employers are required to file workers compensation to provide financial assistance to employees who are injured on the job.
Workers compensation forms can typically be filled out online or through paper forms provided by the employer or the insurance company.
The purpose of workers compensation is to protect both employees and employers by providing financial assistance to injured employees while protecting employers from lawsuits related to workplace injuries.
Workers compensation forms typically require information such as the date and location of the injury, a description of how the injury occurred, and details of any medical treatment received.
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