CalWorkersComp.Blog
WCABDWCAyala, Juan v. CEJA-REYES; MEADOWBROOK INSURANCE GROUP ()Public hearing: Medical Provider Network Regulations ()

California Worker's Compensation : Claim Form — 2005-05-03


News from around the internet (archived) 1:14AM
BulletThe Business Press, San Bernardino, Calif., Health Care Column (RedNova) (archived). May 2--So-called medical provider networks evolving from California workers' compensation reform are getting rich at the expense of physicians and businesses, said Jun Tan, an occupational medicine physician and sole owner of Central Occupational Medicine Providers in Riverside.

BulletSenate OKs Workers' Comp Director (The Sacramento Union) (archived). SACRAMENTO—The state Senate confirmed Gov. Arnold Schwarzenegger’s workers’ compensation director Thursday despite strong opposition from groups representing injured workers. The 21-10 vote came a day after Senate President Pro Tem Don Perata, D-Oakland, cast the deciding committee vote approving the Republican governor’s appointment of Andrea Hoch. A top labor leader accused Perata of abandoning

BulletObesity costs loom for workers (Whittier Daily news) (link unavailable). California's childhood obesity epidemic threatens to saddle the state's taxpayers with astronomical medical bills from a generation that will spend more time in the hospital and less time at work than any before, health experts warn.

Author:   Charles Wear  
Posted: 2/15/2004; 7:25:38 AM
Topic: Claim Form
Msg #: 19 (top msg in thread)
Prev/Next: 18/20
Reads: 879

 

Starting your Workers' Compensation Claim
It is very important that you notify your employer if you have been hurt on the job. To do this you need to file a claim form, the DWC-1 (archived). You can also find instructions WCAB site here.
Filling out the claim form is pretty simple. It should be done on the day you get hurt, if you have suffered a specific injury.

It should be done on the day you first seek medical treatment if you are filing a continuous trauma injury.

 Specific Injury: A work injury that occurs at one time or over a short time (like 1 day).

Example: You fall off a ladder at work and break your leg or you are lifting heavy boxes all day and by the end of the day your lower back hurts.

Continuous trauma injury: A work injury that occurs over a period of time due to repetitive work activities.

Example: Your wrists and hands begin to hurt after you have been doing computer data entry work over a period of six months. Finally, the pain is so great you need to be seen by a doctor.
 

The injury date is item #4 on the claim form. If you are filing for a specific injury, enter the date as follows: 1/1/02

If you are fling a continuous trauma injury, enter the date you are seeking medical treatment and 1 year previous as follows: 1/1/01-1/1/02

Item #6 on the claim form asks for a description of the injury and the part of the body affected. Be sure to include every body part that is experiencing symptoms. For example: If you fall off a ladder breaking your right leg and landing on your back and hitting your head, describe as follows: Right leg, back and head from fall off ladder.

For example: If your injury is from repetitive work activities, describe as follows: Both hands, wrists and elbows from repetitive keyboarding.

Sign the form at item #8 and give it to your employer. Always keep a copy for your records. The employer has one day to complete the bottom portion of the form and return it to you.
Copyright 2004, All rights reserved, Charles R. Wear