For your convenience as well as to save you time on
your initial workers' compensation office visit, you may download the Initial Workers' Compensation Office
Paperwork by clicking on the Initial Workers' Compensation Office Paperwork Link.
Upon completion of the Initial Workers' Compensation Office Paperwork, you may
e-mail or fax the completed paperwork to Dr. Williams Chiropractic Office (please call Dr. Williams Chiropractic
Office before faxing paperwork)!
Workers' compensation insurance which is provided by your
employer provides six (6) basic benefits;
1) Medical Care
Paid by your employer to help you recover from an work related injury
2) Temporary Disability Benefits
Payments if you lose wages because your injury prevents you from doing your job.
3) Permanent Disability Benefits
Payments if you do
not recover completely.
4) Supplemental Job
For work related injuries occuring in 2004 and beyond.
Vouchers to help pay for retraining if you do
not return to your employer.
5) Vocational Rehabilitation
For work related
injuries occuring before 2004.
Job placement counseling/retraining if you are unable to return to your employer.
6) Death Benefits
Payments to your spouse/dependents if you
die from a job illness/injury.
If you get injured or sick because of
work, your employer is required by California law to pay for worker's compensation benefits. You could get injured by;
A) Injuring your wrist from doing the same motion over and over.
B) Falling and injuring your spine and/or extremities
C) Being involved
in a motor vehicle accident while making deliveries.
What to do if you are injured at work;
1) Report the injury to your employer/supervisor right away.
2) Get emergency treatment if you need it.
3) Fill out Employee's First Report Of Injury (DWC Form-001).
Unless the employer or the employer's insurance has established a "medical provider network,"
the employer has the initial selection of the physician however the employee can change to another physician after
Any employee who has notified his/her employee in
writing prior to their work related injury that they have a personal physician and has provided non-occupational health
care coverage, has the right to be treated by his/her personal physician after the job related injury.
The right to be treated by one's personal physician at the outset of injury also applies if the
employer has failed to post the "Notice Of Workers' Compensation Rights" as required by California law.