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The Form CA-1 was developed to ensure regulatory compliance and to be more customer friendly. The form must be completed by the injured employee, a witness, and the injured employees supervisor.
Your employer is required to give you the DWC1 form within one business day of your injury notification. You are then expected to complete the DWC1 form within one business day after you receive it. Sections one through nine of the DWC1 form should be completed by the injured employee.
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.
(a) Insurers and self-insured employers shall reproduce Form 5020, Rev. 7, Employers Report of Occupational Injury or Illness. In reproducing the form, all of the following conditions shall be met: (1) The title of the reproduced form shall read: State of California Employers Report of Occupational Injury or Illness.
You should immediately report your injury to your employer or immediate supervisor. Your employer must fill out a form, sometimes called a First Report of Injury, for every injury that occurs in the workplace. Make sure that your employer fills out a form for you.

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Following the Workers Comp Claim Process Request an Employees Claim for Workers Compensation Benefits form from your supervisor (its also known as a DWC 1 form). Your employer must give or mail you a claim form within one working day after learning about your injury or illness.
A DWC 1 is the form that is filled out to report an injury to your employer, and officially initiate a workers compensation claim. DWC stands for Division of Workers Compensation, this is the government agency that monitors workers compensation claims and law.

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