Pomona California Employee's Claim for Worker's Compensation Benefits for Workers' Compensation

State:
California
City:
Pomona
Control #:
CA-DWC-01-WC
Format:
PDF
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Description

This form is an official California Worker's Compensation form which complies with all applicable state codes and statutes. USLF updates all state forms as is required by state statutes and law. This form is available in fillable PDF format.

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FAQ

A Stipulation and Award pays the injured worker for permanent disability. This must be paid at a specific dollar amount every week. A check is sent to the injured worker every other week. There is no lump sum payment.

Who can claim compensation from the Fund? Any person who is employed or apprenticed or being trained by an employer, and is injured or gets sick on or because of the job. The following workers cannot claim compensation from the Fund: domestic workers in private households.

As a result, California employers are required by law to have workers' compensation insurance, even if they have only one employee. And, if your employees get hurt or sick because of work, you are required to pay for workers' compensation benefits.

Workers' comp insurance provides five basic benefits: Medical care: Paid for by your employer to help you recover from an injury or illness caused by work. Temporary disability benefits: Payments if you lose wages because your injury prevents you from doing your usual job while recovering.

In California, these benefits are calculated at two-thirds of your average weekly wages before the accident. However, there is a legal maximum and minimum that changes every year, depending on the statewide average wages. For 2022, the weekly maximum is $1,539.71, and the minimum is $230.95.

Workers' compensation benefits do not include damages for pain and suffering or punitive damages.

In short, you may be eligible for benefits if you have been injured while performing work-related duties for your employer, but there are some exceptions. If you or a loved one has been injured on the job, call us at (415) 292-7800 or send us a message online to schedule a free case review.

2-Year Benefit Limit for Most Cases In the typical workers' compensation claim filed in California, benefits can be provided for 104 weeks or 2 years' worth. The 104 weeks of benefits can be parceled out across 5 years, though, if you do not need to use all 104 weeks consecutively.

The answer, somewhat surprisingly, is yes; certain workers are not covered by workers' compensation in California. These include: Business owners/sole proprietors (aside from roofers) Independent contractors.

In California, these benefits are calculated at two-thirds of your average weekly wages before the accident. However, there is a legal maximum and minimum that changes every year, depending on the statewide average wages. For 2022, the weekly maximum is $1,539.71, and the minimum is $230.95.

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Pomona California Employee's Claim for Worker's Compensation Benefits for Workers' Compensation