Report all injuries and illnesses to the Human Resources Management department within 24 hours of the injury or illness. You may be entitled to Workers' Compensation benefits if you are injured or become ill because of your job, or as victim of a workplace crime. Workers' Compensation covers most work-related physical or mental injuries. If you are injured or ill, notify your supervisor immediately and report to Human Resources Management to complete the necessary forms.
1. Employee/Volunteer Report of Injury/Illness
For all injuries and illnesses, please complete the Employee/Volunteer Report of Injury/Illness form and return it to Human Resources Management.
2. Workers' Compensation Claim Form (DWC-1)
If an injury or illness requires more than first aid treatment, Human Resources Management will provide you with the Workers' Compensation Claim Form (DWC-1) and Notice of Potential Eligibility [PDF]. Complete and sign the "Employee" portion of this form and return it to Human Resources Management.
3. Seek medical treatment if needed
Prior to going for treatment or evaluation, you will need to obtain a Treatment Authorization form from Human Resources Management. The form authorizes treatment and lets the medical facility know that you are being seen for a work related injury or illness.
Managers and Supervisors
If an injury or illness requires medical treatment beyond first aid, please contact the Human Resources Management department and send the employee to Human Resources Management to complete all necessary forms.
For more information, please contact Human Resources Management at (310) 243-3771.
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