Return-to-Work Supplement Program

System Maintenance Notice

Due to system updates, the Return-to-Work Supplement Program (RTWSP) online application system will be intermittently offline from 8:30 p.m. Pacific Time on Friday, June 21, 2024, to 4:00 p.m. Pacific Time on Saturday June 22, 2024. When visiting the website, if the system is unavailable, please try again later.

Employees injured on or after January 1, 2013, who have received a supplemental job displacement benefit voucher (SJDB), may also qualify for an additional one-time $5,000 payment.    

The Return-to-Work Supplement Program (RTWSP) will mail approved applicants a $5,000 check that can be used to supplement the earnings lost from being injured.  

Click Here to Apply Online

Instructions for completing online application:

English -  Español -  Chinese -  Korean -  Tagalog -  Vietnamese

Eligibility for RTWSP payment:

  • Date of injury must be on or after January 1, 2013.
  • Applicant must have received a SJDB voucher for that injury.
  • Apply by the deadline. RTWSP must receive your application within one year from the date you were mailed the SJDB voucher

How to apply:

The application for the one-time $5,000 payment is available online. If you do not have access to the internet, every DWC district office has a kiosk equipped with a computer, scanner, and printer for your use. Information and Assistance Officers are available in person and over the phone.

You will need the following information to complete the application:

  • The entire SJDB voucher including proof of service (page 6)
    • SJDB voucher in .pdf or .tiff format for uploading and attaching to online application
  • Adjudication (ADJ) number
  • Workers’ Compensation claim number
    • Claim numbers are issued by the claims administrator when an injury claim form is filed.

Frequently asked questions:

Contact Us:

Please e-mail questions or comments regarding Return-to-Work Supplement Program at:

July 2018