Report A Work-Related Injury/Illness

REPORT A WORK RELATED INJURY / ILLNESS

The purpose of the following material is to provide department managers and supervisors a general guide for reporting industrial injuries/illnesses.

Policies and procedures may differ significantly from one department to another on internal reporting. Therefore, it is recommended every manager and supervisor become familiar with their department’s industrial injury/illness reporting practices.

Promptly reporting injuries/illnesses benefits injured workers and helps control the cost of workers’ compensation claims.

ELECTRONIC REPORTING

Certain authorized Departments submit their claims electronically to the City’s claims system. Please contact the WC Division to request authority to submit claims electronically.

Covid-19 Related Illness

On May 6, 2020, California Governor Gavin Newsom signed COVID-19 Executive Order (EO), N-62-20, which creates a rebuttable presumption, for purposes of receiving workers’ compensation benefits, that employees who test positive for or are diagnosed with COVID-19 contracted the virus while at work.

Under Executive Order N-62-20, if an employee tests positive for or is diagnosed with COVID-19 within 14 days after performing work at the employer’s workplace at the employer’s instruction, there is a rebuttable presumption that the COVID-19-related illness arose out of and in the course of employment, for the purposes of awarding workers’ compensation benefits. This presumption will entitle employees to full benefits for medical treatment, hospital/surgery expenses, disability indemnity and death.

Here is the link to the Executive Order. Below are the required four (4) COVID-19 thresholds to qualify for workers' compensation benefits:

The employee tested positive for or was diagnosed with COVID-19 within 14 days after a day that the employee performed labor or services at the employee’s place of employment at the employer’s direction;

The day on which the employee performed labor or services at the employee’s place of employment at the employer’s direction was on or after March 19, 2020;

The diagnosis was done by a physician who holds a physician and surgeon license issued by the California Medical Board and that diagnosis is confirmed by further testing within 30 days of the date of the diagnosis;

A signed Claim Form - DWC-1.

workers' compensation

REPORT A WORK RELATED INJURY / ILLNESS

WHAT TO DO WHEN AN INJURY OCCURS

INDUSTRIAL INJURY/ILLNESS REPORTING PAPERWORK

TELEPHONIC REPORTING

ELECTRONIC REPORTING

Covid-19 Related Illness