DWC 1 Workers’ Compensation Claim Form
Last Updated | October 26, 2016 |
Total Files | 2 |
Version | Rev. 1/1/2016 |
Provide this form to California employees in the event of a workplace injury or illness. For more information on employee rights and reporting, download the form or visit the CA DIR's Division of Workers' Compensation website linked below.
Download & Links
File |
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DWC 1 |
Link to CA Dept. of Industrial Relations - Division of Workers' Compensation (DWC) Forms directory |
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