Employer Resource Library
California Employer Resource Guide
Cover Sheet and Welcome Letter
DWC-7 – Notice to Employees – Injuries Caused by Work (Español)
Fraud Prevention Poster (Español)
Instructions for Injury Report Forms
DLSR-5020 – Employer’s Report of Occupational Injury or Illness
DIA-510 – Notice of Employee Death
Incident Investigation Report (Español)
Supervisor’s Report of Employee Incident (Español)
Witness Statement of Injury or Incident (Español)
Instructions for Injured Worker Handouts
DWC-1 – Claim Form & Notice of Potential Eligibility (Español)
Employee Medical Provider Network Notice (Español)
Notice to Victims of Workplace Crimes (Español)
Employee Acknowledgement Form (Español)
Consent & Authorization for Release of Information Form (Español)
Request for Medical History Form (Español)
Instructions for Informational Documents
Omaha National Contact Information
Medical Provider Network (MPN) Information for Employers
Reduce Your Workers Compensation Costs
Instructions for General Forms
Request for Subrogation Waiver
Instructions for State-Specific Forms & Documents