● Workers' Compensation Forms
Workers' Compensation Forms, for assistance please contact the Workers’ Compensation office in Risk Services at (831) 459-1787 or (831) 459-2850.
- Employer's First Report of Injury (EFR)
- Click on "Login" and then log in with your CruzID and Gold Password to access the online form. Click on "Create Claim."
- Employee Authorization for Medical Treatment of Occupational Incidents
- Volunteer Waiver and Election of Workers' Compensation
- Pharmacy Benefit - Workers' Compensation Prescription Program
- Beneficios Farmaceuticos - Workers' Compensation Prescription Program- Spanish
- Workers' Compensation ESL Election Form & Instructions
- Facts About Workers' Compensation pamphlet
- Informacion Acerca de la Compensacion de Trabajadores -Facts About Workers' Comp pamphlet-Spanish
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