Return-to-Work Supplement Program

Employees injured on or after January 1, 2013, who have received a supplemental job displacement benefit voucher (SJDB), may also qualify for an additonal 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:

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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:

June 2018