Administration Building, Room 601
Hours: Monday - Friday from 8 a.m. to 5 p.m.
Phone (323) 343-3657 | Fax (323) 343-3662
Titles |
|
Word |
|
Employee's Report of Occupational Injury or Illness |
Employee's Report of Occupational Injury or Illness-PDF | |
|
Supervisor's Report of Occupational Injury or Illness |
Supervisor's Report of Occupational Injury or Illness-PDF | |
|
Workers' Compensation Personal Physician Designation |
Workers' Compensation Personal Physician Designation-PDF | Workers' Compensation Personal Physician Designation-DOC |
|
Workers' Compensation Claim Form (DWC 1) |
Workers' Compensation Claim Form (DWC 1)-PDF |
