Form DWC1 Workers' Compensation Claim Form - California (English / Korean)

What Is Form DWC1?

This is a legal form that was released by the California Department of Industrial Relations - Division of Workers' Compensation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DWC1 Workers' Compensation Claim Form?
A: The DWC1 Workers' Compensation Claim Form is a document used in California to file a workers' compensation claim.

Q: Who should use the DWC1 Workers' Compensation Claim Form?
A: Any worker in California who has suffered a work-related injury or illness should use the DWC1 Workers' Compensation Claim Form to file a claim.

Q: Why is it important to file a DWC1 Workers' Compensation Claim Form?
A: Filing a DWC1 Workers' Compensation Claim Form is important because it initiates the process for receiving workers' compensation benefits for a work-related injury or illness.

Q: Can I file the DWC1 Workers' Compensation Claim Form in a language other than English?
A: Yes, the DWC1 Workers' Compensation Claim Form is available in multiple languages, including English and Korean.

Q: What information is required on the DWC1 Workers' Compensation Claim Form?
A: The DWC1 Workers' Compensation Claim Form requires information about the worker, the employer, the injury or illness, and the medical treatment received.

Q: When should I file the DWC1 Workers' Compensation Claim Form?
A: The DWC1 Workers' Compensation Claim Form should be filed as soon as possible after a work-related injury or illness occurs.

Q: What happens after I file the DWC1 Workers' Compensation Claim Form?
A: After filing the DWC1 Workers' Compensation Claim Form, your claim will be reviewed by your employer's workers' compensation insurance provider, and you may be contacted for additional information or to schedule an evaluation.

Q: Can I appeal if my DWC1 Workers' Compensation Claim is denied?
A: Yes, if your DWC1 Workers' Compensation Claim is denied, you have the right to appeal the decision.

Q: What should I do if I need help filling out the DWC1 Workers' Compensation Claim Form?
A: If you need assistance filling out the DWC1 Workers' Compensation Claim Form, you can contact your employer's human resources department or seek legal counsel from a workers' compensation attorney.