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State of California EMPLOYER'S REPORT OF OCCUPATIONAL INJURY OR ILLNESS Any person who makes or causes to be made any knowingly false or fraudulent material statement or material representation for.

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OBTAIN first aid or other necessary medical treatment as soon as possible. ... NOTIFY your supervisor about the injury and the way in which it occurred, as soon as possible. ... COMPLETE a claim for workers' compensation on Form C-3 and mail it to the nearest office of the Workers' Compensation Board, if there is lost-time.

After you report your injury or illness, you'll usually have to file a workers' comp claim with the state workers' comp agency (although your employer may take care of this step in some states). The deadlines for filing claims are typically in the range of one to three years after the injury.

How long do I have to report a work-related injury in California? Generally, you should give your employer written notice of the injury within 30 days after you were hurt.

How Long Do You Have to File Your Workers' Comp Claim? You have 1 year from the date of the injury to file your DWC-1 Claim form. You simply need to hand a completed form to your employer and they will submit it to the insurance company within 5 days.

If there is a serious injury or illness, a death or a dangerous incident, you must report it to us immediately on 13 10 50 as an urgent investigation might be needed. Incidents can be notified 24 hours a day, 7 days a week by calling 13 10 50.

How long do I have to report a work-related injury in California? Generally, you should give your employer written notice of the injury within 30 days after you were hurt.

How long do I have to report a work-related injury in California? Generally, you should give your employer written notice of the injury within 30 days after you were hurt.

If it's an emergency, call 911 or go to an emergency room right away. Tell the medical staff that your injury or illness is job-related. If you can safely do so, contact your employer for further instructions. If you don't need emergency treatment, make sure you get first aid and see a doctor if necessary.

First Report of Injury (1) Within 5 working days following initial examination, a primary treating physician shall submit a written report to the claims administrator on the form entitled Doctor's First Report of Occupational Injury or Illness, Form DLSR 5021.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232