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