California Regulations 9880 1022

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§ Article 8.5 - Employee Information Written Notice to New Employees

(a) Every employer shall provide to every new employee, either at the time of hire or by the end of the first pay period, the Written Notice to New Employees concerning the rights, benefits and obligations under worker's compensation law. The content of the notice must be approved by the Administrative Director.

(b)The notice shall be easily understandable. It shall be available in both English and Spanish where there are Spanish-speaking employees.

(c) The notice provided shall be in writing, in non-technical terms and shall include the following information: (1) The name of the current compensation insurance carrier of the employer at the time of distribution, or when such is the fact, that the employer is self-insured, and who is responsible for claims adjustment; (2) How to get emergency medical treatment, if needed; (3) The kinds of events, injuries and illnesses covered by workers' compensation; (4) The injured employee's right to receive medical care; (5) How to obtain appropriate medical care for a job injury; (6) The role and function of the primary treating physician; (7) The rights of the employee to select and change the treating physician pursuant to the provisions of Labor Code Sections 4600 and 4601; (8) A form that the employee may use as an optional method for notifying the employer of the name of the employee's "personal physician," as defined by Labor Code Section 4600, or "personal chiropractor," as defined by Labor Code Section 4601; (9) The rights of the employee to receive temporary disability indemnity, permanent disability indemnity, vocational rehabilitation services, supplemental job displacement benefits, and death benefits, as appropriate; (10) To whom the injuries should be reported; (11) The existence of time limits for the employer to be notified of an occupational injury; (12) The protections against discrimination provided pursuant to Section 132.a; and (13) The location and telephone number of the nearest information and assistance officer, including an explanation of services available.

NOTE: Authority cited: Sections 133, 138.3, 138.4, 3550, 3551, and 5307.3, Labor Code. Reference: Sections 139.5, 139.6, 3550, 3551, 3600, 4600, 4601, 4603, 4650, 4651, 4658.5, 4658.6, 4700, 4702 and 4703, Labor Code.