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Form DWC-7 is a notice to provide injured workers with rights, benefits and contact information. DOWNLOAD DWC-7 FORM.
?Tell your employer about your work-related injury or illness right away. Fill out Form 801 ?Report of Job Injury or Illness? and turn it in to your employer. Your employer should send it to its workers' compensation insurance carrier within five days of your notice. Your employer should provide you this form.
File a petition for reconsideration to appeal a decision by a workers' compensation judge. The local district office of the Workers' Compensation Appeals Board (WCAB) that issued the decision must get your petition within 20 days from the date the decision was issued.
Complete Form 801, ?Report of Job Injury or Illness,? available from your employer and Form 827, ?Worker's and Health Care Provider's Report for Workers' Compensation Claims,? available from your health care provider.
This form is used by an employee to claim compensation in an established case for traumatic injury or occupational disease. As the supervisor, you will receive an email from ECOMP notifying you that a form requires your review.
Division of Workers' Compensation (DWC): A division within the state Department of Industrial Relations (DIR).
Notice to Employees Poster for Injuries Cause on the Job (DWC 7)
Overview: The Request for Authorization for Medical Treatment (DWC Form RFA) is required for the employee's treating physician to initiate the utilization review process required by Labor Code section 4610.