Filing a Workers’ Compensation Claim

DWC-1 Workers' Compensation Claim Form

This form is required to be completed by the injured employee and their supervisor and submitted to Human Resources within 24 hours of knowledge of the injury or illness. 

Injured workers are to notify their supervisor immediately and call the Nurse Helpline at 415-241-6392 to report the injury or illness and be referred for medical treatment. The helpline is answered 24/7 and language services are provided.

Within two to seven working days, an employee can expect the following:

• Claim confirmation letter from Disability Management Office
• Call from the claims examiner
• Letter(s) from the claims examiner
• Call or email from a Workers' Compensation Team Member

It is highly recommended that an employee maintain a file for all the claim-related correspondence they receive.