Dwc ad form 10133 2025

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The document is a form from the State of California's Division of Workers' Compensation, specifically for the Retraining and Return to Work Unit. It is designed to be completed jointly by an employer and employee to outline the employee's job duties and responsibilities. The form assesses the employee's ability to return to work by detailing job activities, lifting and carrying requirements, and any specific conditions or hazards associated with the job.

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What not to say to a workers comp doctor?

What You Shouldnt Tell Your Workers Comp Doctor Never lie about prior injuries, pre-existing conditions, or medical history. Never lie about the extent of your workplace injury or how it happened. Do not exaggerate your symptoms, including pain or functionality.

What is a DWC 1 form used for?

Form DWC 1 is the official form that California businesses and employees use to file a workers compensation claim. The employee fills out a portion of the form, and the employer fills out the remainder. The employer then sends the completed form to their workers comp insurance company in order to file a claim.

Do you get 100% pay on workers comp?

In that case, you may qualify for time-loss compensation due to the fact that youre temporarily unable to return to work. Typically, the workers comp system in most states offers 66% of your wages. Depending on the state, you may receive your salary benefits weekly, bi-weekly, or once a month.

Where to send DWC 1 form?

Submit the DWC-1 to your employer Your Supervisor/HR Representative is then required to complete the Employer section of the form and return a signed copy to you within one working day.

What does DWC claim mean?

The Division of Workers Compensation (DWC) monitors the administration of workers compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers compensation benefits.