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POPULAR WORKERS’ COMPENSATION Links & FORMS

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State of California Department of Industrial Relations
https://www.dir.ca.gov/

How to File a Wage Claim
https://www.dir.ca.gov/dlse/HowToFileWageClaim.htm

Workers' Compensation Claim Form (DWC 1)
https://www.dir.ca.gov/dwc/DWCform1.pdf

Medical Mileage Expense Form
https://www.dir.ca.gov/dwc/forms-mileage.html

Medical Mileage Expense Forms 2006-2020. https://hernandezworkcomp.com/wp-content/uploads/2020/09/medical-mileage.jpg

Notice to Employees DWC 7
https://www.dir.ca.gov/dwc/NoticePoster.pdf

RFA form and Instructions
https://www.dir.ca.gov/dwc/DWCPropRegs/IMR/IMRFormRFAClean.pdf

Medicare Set Aside Tool Kit
https://www.cms.gov/medicare/coordination-of-benefits-and-recovery/workers-compensation-medicare-set-aside-arrangements/downloads/self-administration-toolkit-for-wcmsas.pdf

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© Copyright 2020 HERNÁNDEZ LAW ALL RIGHTS RESERVED The information you obtain at this site is not, nor is it intended to be, legal advice, nor does it establish an attorney-client relationship. You should consult a lawyer for individual advice regarding your own situation. Hernández Law handles only Workers' Compensation claims in the Eureka, Crescent City, and Redding, California areas Note: We have an ethical duty to keep your information strictly confidential.