General

Division of Workers Compensation
(http://www.dir.ca.gov./workers'_comp.html)

Medical information/US National Library of Medicine/National Institute of Health (http://medlineplus.gov)

Reporting Forms for all claim participants-California Division of Workers' Compensation
(http://www.dir.ca.gov/dwc/forms.html)

For Injured Workers

Fact sheets for injured workers
(http://www.dir.ca.gov./chswc/injured_worker_factsheets.html)

General information workers
(http://www.workitout.ca.gov/default.asp?id=11)

Information and Assistance Offices/ Injured Worker Workshops
(http://www.dir.ca.gov/DWC/dir2.htm)

Injured Worker Guides-Division of Workers' Compensation (DWC)
(http://www.dir.ca.gov/dwc/iwguides.html)

For the injured worker: Notice of Options Following Permanent Disability Rating (DEU Form 110) from the DWC 01/01/05
(http://www.dir.ca.gov/dwc/DEU110.pdf)

Medical Mileage Expense Form/Forma de gastos por distancisa recorrida por visitas medica
(http://www.dir.ca.gov/dwc/i%26a%5Fmileageform.pdf)

Young Workers
(http://www.dir.ca.gov./YoungWorker/YoungWorkersMain.html)

For Medical Providers

Environmental Medicine (http://acoem.com)

Permanent and Stationary Report (PR-4) for rating prepared pursuant to the 2005 Permanent Disability Rating Schedule and AMA Guides
(http://www.dir.ca.gov/dwc/PR-4.pdf)

Permanent and Stationary Report (PR-3) for rating prepared pursuant to the 1997 Permanent Disability Rating Schedule-revised 01/01/05
(http://www.dir.ca.gov/dwc/PR-3.pdf)

Progress Report for Primary Treating Physician's (PR-2) revised 01/01/05
(http://www.dir.ca.gov/dwc/PR-2.pdf)

For Employers

Poster For Employers, Notice to Employees-Injuries Caused By Work
(in English and Spanish) from the DWC
(http://www.dir.ca.gov/dwc/NoticePoster.pdf)

For Employers: Notice of Potential Eligibility (DWC 1) form
(http://www.dir.ca.gov/dwc/DWCForm1.pdf)

Employer's Report of Occupational Injury or Illness Form 5020 -
revised June 2002
(http://www.dir.ca.gov/DOSH/DoshReg/Form5020.pdf)

 

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