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Division of Workers' Compensation (DWC)

Fact sheets and guides for injured workers

Fact sheets

These fact sheets provide injured workers with answers to frequently asked questions about issues affecting their benefits.

Fact sheet for injured worker
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Información para trabajadores lesionados
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Information in Chinese image
Information in Korean Imge
Information in Vietnamese

Basic facts on workers' compensation for injured workers
update image Fact sheet A
version - version
Answers to your questions about utilization review
Fact sheet B
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Glossary of workers' compensation terms for injured workers
Fact sheet C
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Answers to your questions about temporary disability benefits
Fact sheet D
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Answers to your questions about permanent disability benefits
Fact sheet E
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Answers to your questions about qualified medical evaluators and agreed medical evaluators
Fact sheet F
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Answers to your questions about the state's Uninsured Employers Benefits Trust Fund

Hojas de información en español

Injured worker guides

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.

I&A guide 1 How to file a workers' compensation claim form

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A guide 2 How to request a qualified medical evaluation

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A guide 3 How to object to your summary rating

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A 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)

I&A 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)

I&A guide 6 How to request an expedited hearing

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A 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)

I&A 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)

I&A guide 9 How to file a petition for commutation

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A guide 10 How to file a lien
I&A guide 11 How to file a petition to reopen

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A guide 12 How to file a petition for reconsideration

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A 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)

I&A 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)

I&A guide 15 How to dismiss your attorney

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A guide 16

How to file a claim with the Uninsured Employers Benefits Trust Fund

Refer to the text in this guide to see which forms are needed

I&A guide 16A How to correctly name your employer for the Uninsured Employers Benefit Trust Fund
I&A guide 16B How to serve your employer in an Uninsured Employers Benefit Trust Fund case
I&A guide 17 How to complete a document cover sheet

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

I&A guide 18 How to complete a document separator sheet

REQUIRED CHECKLIST FOR FILING THIS FORM  (Please file the forms in the order indicated)

Guías para trabajadores lesionados

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March 2014