How do I file a workers' compensation claim?

To file a workers’ compensation claim in California, the process begins with the employee notifying their employer of an injury that happened while working. This can be done in writing, by phone, or in person. Once the employer has been notified, they must fill out a form called the “Employer’s Report of Occupational Injury” and submit it to the workers’ compensation insurance company. Once the insurance company has received the Claim form, they will investigate the claim and contact the employee. The employee must then submit a claim form called the “Employee’s Claim for Workers’ Compensation Benefits” to the workers’ compensation insurance company. This form includes information on the nature of the injury, medical records, and any wages lost due to the injury. The insurance company will review the claim and decide whether or not to approve the claim. If approved, the insurance company will provide medical treatment, disability benefits, and other compensation in accordance with the claim. The employee is then responsible for providing medical documentation and other proof of their disability in order to receive the benefits. Alternatively, if the insurance company denies the claim, the employee can appeal the decision. This can be done by filing an appeal with the California Division of Workers’ Compensation. An administrative law judge will then review the evidence and make a decision. In summation, filing a workers’ compensation claim in California requires notifying the employer of the injury, submitting a claim form to the workers’ compensation insurance company, providing medical documentation and other proof of the disability if approved, and appealing the decision if denied.

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