Report workers form 2025

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Overview: The Request for Authorization for Medical Treatment (DWC Form RFA) is required for the employees treating physician to initiate the utilization review process required by Labor Code section 4610.
For each percent of impairment, you will receive 0.6% of your average monthly wage at the time of your injury.
Filing A Workers Compensation Claim Your workers compensation claim does not start until the C-4 form is completed. The C-4 form is titled Employees Claim for Compensation/Report of Initial Treatment. The physician fills out their part of the form, and sends a copy to your employer and the insurer.
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You can docHub with UI OnlineSM or by mail using the paper Continued Claim Form (DE 4581) (PDF). When docHubing for UI benefits, report your work and gross wages (wages earned before any deductions) during the actual week you worked and earned the wages, not when you received your pay.
California employers must provide the following documents for example: I-9 Employment Eligibility Verification completed. W-4 federal and state tax withholding forms completed. Workers Compensation Time of Hire Pamphlet: Personal Chiropractor or Acupuncturist Designation Form and Personal Physician Designation Form.
Online. Use e-Services for Business to submit a Report of New Employee(s) (DE 34). Submit a paper report of new employees by mail or fax using one of the following options: Mail. Mail or fax your paper DE 34 to: Employment Development Department. Fax. Fax your form to 1-916-319-4400. Additional Resources.
Employers Work Sharing Certification (DE 4581WS) This form can be submitted every week or every two weeks after the Initial Claim and Payment Certification form. If you are submitting a two-week payment certification form, the weeks must be consecutive.
Complete the Notice of Injury or Occupational Disease, Form C-1. You must fill out this form and turn it in to your employer within one week of your injury. If your work-related injury requires medical treatment, you will need to fill out Form C-4, Employees Compensation Report of Initial Treatment.

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