CA Workers Compensation Claim Form DWC1 PDF
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$5
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The basic instructions and PDF claim form for filing a workers compensation claim in California. This document needs to be turned into your employer/supervisor/HR immediately when you have knowledge of your work comp injury. This form is standard in english and spanish, including instructions. You may file a specific injury (ie slip and fall) or cumulative trauma (CT ie repetitive job duties injury) using this form.
You'll get the PDF claim form sent to your email immediately!
Size
400 KB
Length
4 pages
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