Summary: This page provides information for workers and supervisors about workers' compensation.
When reporting a work-related incident, injury or illness, DO NOT provide the employee with the State of California Workers’ Compensation Claim form (DWC-1). This form is only provided by the Office of Risk Services.
- If employee wishes to be seen by a doctor, complete the Authorization for Medical Treatment form (pdf).
- Within 24 hours, complete the Incident
Report Form (pdf) (Spanish). To assure timely reporting you may report the incident by telephone at 1-877-682-7778. The supervisor must also complete and submit both the Incident Report Form and Supervisor's Incident Investigation Form, even if reporting the incident by telephone. Within 5 days, submit the Supervisor's Incident Investigation Form (pdf).
Please return any unused copies of the State of California Workers’ Compensation Claim form (DWC-1) to Office of Risk Services (mail stop: Risk Services).
For more information on the process for reporting work related incidents, injuries, and illnesses, review the Workers’ Compensation Reporting Procedures.