This is one of the official workers' compensation forms for the state of California
California Primary Physician's Progress Report for Workers' Compensation
State:
California
Control #:
CA-PR-2-WC
Format:
Word;
PDF;
Rich Text
Instant download
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FAQ
In California, you may choose your personal physician or a qualified medical group as your treating doctor for workers' compensation, but only if:you have already given your employer written notice (known as predesignation) that you want your personal physician to treat you for any future work injuries.
PRIMARY TREATING PHYSICIAN'S PERMANENT AND STATIONARY REPORT (PR-4) This form is required to be used for ratings prepared pursuant to the 2005 Permanent Disability Rating Schedule and the AMA Guides to the Evaluation of Permanent Impairment (5th Ed.).
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).
Under many conditions, California regulations require a Primary Treating Physician to issue a PR-2 report to a claims administrator. The purpose of this PR-2 is to update the claims administrator on the status of the injured employee.
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.
What is the employer's advantage in offering workers' compensation? The employer can avoid a lawsuit by an injured worker.
The Employer's Report of Occupational Injury or Illness (Form 5020). Every employer is required to file a complete report of every occupational injury or illness to each employee which results in lost time beyond the date of injury or illness or which requires medical treatment beyond first aid.
The LES Form DWC-1, or First Report of Injury or Illness, is the form used to report workers' compensation accidents or work-related illnesses to your insurance carrier or designated claims office. Delays and errors may increase costs related to processing the claim.
What is the employer's advantage in offering workers' compensation? The employer can avoid a lawsuit by an injured worker.
