Important changes mandated by the California Division of Workers’ Compensation (DWC) will affect several workers’ compensation forms that you, as an employer, must provide to your employees. The changes went into effect on October 8, 2010.
To help you with these new requirements, State Fund is providing direct links to the forms below.
Please look for your scenario below, click on the links to the forms you need, print out the appropriate forms, and follow the instructions for posting and distribution.
The forms below must be posted in close proximity to each other, in a conspicuous location frequented by employees.
It is important that employers follow these notification mandates. Failure to provide the required forms to employees may result in fines of up to $7,000 as well as the loss of medical control of workplace claims.If you have any questions about these notification requirements, please call the State Fund Customer Service Center at (877) 405-4545.