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The state of California requires employers to report any injury that requires medical treatment beyond first aid or results in lost time from work within 5 days. However, the more quickly companies report workplace injuries to their insurance company, the greater the likelihood of a quick and cost-effective claim resolution. Click here for a checklist of steps to take in the event of a workers’ compensation claim.

Helpful forms:

• DWC-1 form
• Employers Report of Occupational Injury (5020)

Report all serious injuries to the nearest CalOSHA office. A directory can be found here.

Follow the steps outlined in the Emergency Response Procedure.

Provide First Aid care onsite or through a clinic whenever possible. A list of onsite first aid providers can be found here in our Claim Reporting Phone Numbers list.

Provide modified duty to injured employees so they may recover on the job whenever possible.

If your injured employee must take a leave of absence to recover, stay in regular communication with them, Cavignac, and the claims adjuster. Regular communication with the parties will ensure everyone understands the process and agrees on the plan of action. This will increase the likelihood of a full recovery and positive claim resolution.