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 - Division of Labor Standards Enforcement - 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 DLSE WCA Form 1?
A: The DLSE WCA Form 1 is the Initial Report or Claim form for workers' compensation in California.

Q: Who needs to fill out the DLSE WCA Form 1?
A: Employees who have been injured on the job in California need to fill out the DLSE WCA Form 1.

Q: What is the purpose of the DLSE WCA Form 1?
A: The DLSE WCA Form 1 is used to report and file a claim for workers' compensation benefits.

Q: What information do I need to provide on the DLSE WCA Form 1?
A: You will need to provide your personal information, details about your injury, and information about your employer and the incident that caused the injury.

Q: When do I need to submit the DLSE WCA Form 1?
A: You should submit the DLSE WCA Form 1 as soon as possible after your injury, preferably within 30 days.

Q: What happens after I submit the DLSE WCA Form 1?
A: After you submit the DLSE WCA Form 1, your claim will be reviewed by the workers' compensation insurance carrier and the process of evaluating and potentially approving your claim will begin.

Q: Can I get assistance with filling out the DLSE WCA Form 1?
A: Yes, you can seek assistance from your employer, a workers' compensation attorney, or a representative from the Division of Labor Standards Enforcement (DLSE) if you need help filling out the DLSE WCA Form 1.