Workers' Compensation

What to Do When an Injury Occurs

• FOR EMPLOYEE
• FOR SUPERVISOR

Where to go for Medical Treatment

• US HEALTHWORKS (Please fill out the appropriate intake forms below)
1. Patient Information Form (English)
2. Patient Information Form (Spanish)
3. Established Patient Statement

What to do when an Employee is Release to return to work with restrictions

• FOR EMPLOYEE
• FOR SUPERVISOR

Workers' Compensation Procedures for Supervisors

Workers' Compensation FAQ's

Workers' Compensation Forms

• DWC-1
• 620 ACCIDENT REPORT
• EMPLOYEE PRE-DESIGNATION OF PERSONAL PHYSICIAN

Resources:

• INDUSTRIAL DISABILITY LEAVE
• DIVISION OF WORKERS' COMPENSATION
• ENVIRONMENTAL HEALTH & SAFETY
• INSURANCE & RISK MANAGEMENT
• ERGONOMIC EVALUATIONS

Contact Kari Dom (818) 677-3351