California Application for Discrimination Benefits for Workers' Compensation

WORKER'S COMPENSATION CLAIMS Certain employment-based claims are never permitted to be released under law. They can invalidate an otherwise valid release agreement if included. Please identify any of these claims in your state.

Request an "Employee's Claim for Workers' Compensation Benefits" form from your supervisor (it's also known as a DWC 1 form). Your employer must give or mail you a claim form within one working day after learning about your injury or illness.

You must be an employee. Your employer must carry workers' comp insurance. You must have a work-related injury or illness. You must meet your state's deadlines for reporting the injury and filing a workers' comp claim.

The insurance company may use your rating to come up with a starting settlement amount, but you may want to ask for a moderately higher amount for permanent disability compensation, plus the cost of future medical treatment and any past-due temporary disability benefits.

A workers compensation policy affords benefits to injured employees as prescribed by the applicable state law. Virtually all states provide four types of benefits: medical coverage, disability benefits, rehabilitation, and death benefits.

Most injuries that occur on the job are covered by workers' comp insurance, including accidents and illnesses caused by exposure to work activities, materials, and equipment. As soon as an employee suffers an occupational injury that is covered by workers' comp insurance, time is of the essence.

DWC-7 Notice to Employees-Injuries Caused by Work (English and Spanish). This form provides your employees with information regarding workers' compensation benefits and the Medical Provider Network (MPN) in California.Covered Employee Notification of Rights Material (English and Spanish).

#1: Medical-Only Coverage. #2: Temporary Disability. #3: Permanent Disability.