Info for Injured Workers
Resources
DWC Fact Sheets = DWC Fact Sheets are
documents which can be used by both the injured workers and
policyholders to provide an overview of the laws which govern
the claims administration process in the State of California.
These forms are also available on the DWC website at
www.dir.ca.gov
.
- Fact Sheet A – Utilization Review
- Fact Sheet B – Glossary of Workers’ Comp Terms
- Fact Sheet C – Temporary Disability
- Fact Sheet C – Temporary Disability – Spanish
- Fact Sheet D – Permanent Disability
- Fact Sheet D – Permanent Disability – Spanish
- Fact Sheet E – Qualified Medical Evaluation/Agreed Medical Evaluation
- Fact Sheet E – Qualified Medical Evaluation/Agreed Medical Evaluation – Spanish
Mileage Reimbursement Request for Injured Worker
Use = Injured workers should use this form to log their
mileage so that Employers Direct can reimburse them for travel
related to their medical treatment.
