Filing A Claim

Filing a Workers' Compensation Claim in CA

Contact our Dedicated Santa Ana Workers' Comp Attorneys (714) 500-8661

If you've suffered a work-related injury, you can file for workers' compensation to cover the costs of your injuries while you recover. It is important that you report your injury as soon as possible, within 30 days of the incident.

The claims process can be tedious and overwhelming, so consult an attorney if you need help. Our Santa Ana workers' compensation lawyers at Ufkes & Bright can provide you with hands-on guidance and work to ensure you recover the maximum compensation possible.

How to file a workers' compensation claim in California:

  • Report your injury as soon as possible to your employer.
  • You will need to file 5 forms:
    • DWC-1 claim form. Fill out and sign and date the form and return it to your employer, while keeping a copy for your own records. Your employer will fill out his or her portion and forward the form to the insurer.
    • Application for Adjudication of Claim. Provide information about your injuries, medical treatment, dates of missed work, and other relevant information.
    • Declaration Pursuant to Labor Code 4906(g). This form verifies that you have not submitted fraudulent information or asked any doctor or hospital to do the same.
    • Document Cover Sheet. This cover sheet will be for the package of forms and documents that you are filing.
    • Document Separator Sheets. You will need to place this sheet between after each of the above forms in your claim package.
  • Once you submit your claim, it will then be processed by the claims administrator who will either approve your claim or deny your claim.

Having handled thousands of cases during our decades in practice, we have extensive experience negotiating and litigating workers' compensation claims. We combine big-firm results with smaller-firm service to ensure an excellent client experience alongside side effective representation.


Contact our legal team at (714) 500-8661 to learn more about filing a claim. Request a free initial consultation.


 

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