Today is
Friday, April 19, 2024 -
WCC PDF Forms
| Form Name | Form Number |
|---|---|
| Voluntary Directive for Alternate Service of Medical-Legal Evaluation Report on Disputed Injury to Psyche | QME Form 120 |
| What Every Worker Should Know | Fact Sheet #1 |
| Workers' Compensation Claim Form (Rev 6/10) | DWC 1 |
| Workers' Compensation Claim Form Instructions(Rev 6/10) | DWC 1 |
| Workers' Compensation Claim Form with Instructions (05-2007) | I&A 1 |
| Working After a Job Injury | Fact sheet #3C |
| Working After a Job Injury (SP) | Fact Sheet #3C (SP) |
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Calif.
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