Fact sheets and guides for injured workers
When injured workers have problems with their claims, they may need to go to the local workers' compensation office for help. Each of the guides below provides information on how to fill out a form they may need to get the problem resolved. Most have samples attached. The forms may also be downloaded from the DWC forms page.
Injured worker fact sheets
English | Spanish | Chinese | Hmong | Korean | Tagalog | Vietnamese |
- Basic facts on workers' compensation for injured workers
- Answers to your questions about utilization review (Fact sheet A)
- Glossary of workers' compensation terms for injured workers (Fact sheet B)
- Answers to your questions about temporary disability benefits (Fact sheet C)
- Answers to your questions about permanent disability benefits (Fact sheet D)
- Answers to your questions about qualified medical evaluators and agreed medical evaluators (Fact sheet E)
- Answers to your questions about the state's Uninsured Employers Benefits Trust Fund (Fact sheet F)
- Rights And Obligations In Asserting A Claim Before The Workers’ Compensation Appeals Board (Fact sheet G)
Injured Worker guides
Guide 1 | How to file a workers' compensation claim form
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 2 | How to request a qualified medical evaluation
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated) |
Guide 3 | How to object to your summary rating
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 4 | How to file an application for adjudication of claim
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 5 | How to file a declaration of readiness to proceed
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 6 | How to request an expedited hearing
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 7 | How to file a petition for discrimination (Labor Code 132a)
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 8 | How to file a serious and willful misconduct petition
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 9 | How to file a petition for commutation
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 10 | How to file a lien
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 11 | How to file a petition to reopen
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 12 | How to file a petition for reconsideration
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 13 | How to file an appeal of the administrative director
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 14 | How to file a complaint with the Audit Unit
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 15 | How to dismiss your attorney
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 16 | How to file a claim with the Uninsured Employers Benefits Trust Fund
REQUIRED CHECKLIST FOR FILING THIS FORM
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Guide 16A | How to correctly name your employer for the Uninsured Employers Benefit Trust Fund |
Guide 16B | How to serve your employer in an Uninsured Employers Benefit Trust Fund case |
Guide 17 | How to complete a document cover sheet
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 18 | How to complete a document separator sheet
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 19 | How to file a petition appealing administrative director's independent medical review determination
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 20 | How to file a petition for change of venue
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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Guide 21 | How to file a petition for penalties
REQUIRED CHECKLIST FOR FILING THIS FORM (Please file the forms in the order indicated)
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August 2024