DWC 1 Workers’ Compensation Claim Form

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  • Version Rev. 1/1/2016
  • Download
  • 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.

Attached Files

File
DWCForm1.pdf
forms.html
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