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DWC 1 Workers’ Compensation Claim Form
- Version Rev. 1/1/2016
- File Size 101.23 KB
- File Count 2
- Create Date August 16, 2016
- Last Updated October 26, 2016
DWC 1 Workers' Compensation Claim Form
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.
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