Primary Workers' Compensation Information Only
The following documents below are for your use to help in the enrollment process.
California Claims Information
First Aid Update
Please download and complete the following forms:
Claims Kit
DWC 7
Panel Card
Pre-Designation Form
At the Time of Injury
DWC1
For New Hires Only
Pre-Designation Form
New Hire Packet
All Other States Information
The following documents are provided to you for use:
Claims Office Staffing and Locations
Pharmacy Letter and Card
Pharmacy Letter and Card (Spanish)
Medical Provider Directory
Treatment Form
Blank First Notice of Injury Form