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DLSE WCA Form 1 Initial Report or Claim - California
What Is DLSE WCA Form 1?
This is a legal form that was released by the California Department of Industrial Relations - 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 DLSE WCA Form 1?
A: DLSE WCA Form 1 is the Initial Report or Claim form required for workers' compensation in California.
Q: What is the purpose of DLSE WCA Form 1?
A: The purpose of DLSE WCA Form 1 is to initiate the workers' compensation process and report the injury or illness suffered by an employee.
Q: Who should fill out DLSE WCA Form 1?
A: DLSE WCA Form 1 should be filled out by the injured employee or someone acting on their behalf.
Q: What information is required on DLSE WCA Form 1?
A: DLSE WCA Form 1 requires information such as the employee's personal details, employer information, description of the injury or illness, and details of medical treatment received.
Form Details:
- Released on September 1, 2020;
- The latest edition provided by the California Department of Industrial Relations;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of DLSE WCA Form 1 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations.
Download DLSE WCA Form 1 Initial Report or Claim - California
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