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<div class="topMission">Established in 1914 by the state legislature, State Fund is California's most reliable provider of workers' compensation insurance and a vital asset to California businesses. State Fund supports California's entrepreneurial spirit and plays a stabilizing role in the economy by providing fairly priced workers' compensation insurance, helping California employers keep their workplaces safe, and restoring injured workers.
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<li id='subNavHightlight'><a href='/claims/FileAClaim.asp'>File a Claim</a><ul><li><a href='/claims/ClaimsReportingCtr.asp' title=''>» Claims Reporting Center</a></li></ul></li><li><a href='/claims/MPN.asp'>Medical Provider Network (MPN)</a></li><li><a href='/claims/MedResourcesForErs.asp'>Medical Resources for Employers</a></li><li><a href=''></a></li>
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<li><a href="/pdf/3067.pdf" target="_blank">Employer's Report of Occupational Injury or Illness - 3067 </a></li>
<li><a href="/pdf/e3301.pdf" target="_blank">Employee's Workers' Compensation Claim Form DWC 1 - e3301 </a></li>
<li><a href="/pdf/e13286.pdf" target="_blank">New Employee's Guide to Workers' Compensation (English/Spanish) - e13286</a></li>
<li><a href="/pdf/e3851.pdf" target="_blank">Employee’s Guide to State Fund MPN (English/Spanish) - e3851</a></li>
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<h1>File a Claim</h1>
<p>When a work injury occurs, prior to filing a claim, we recommend that you:</p>
<h2>Treat Injuries </h2>
<p>Get your injured employee medical attention immediately by:<br>
</p>
<ul>
<li>Calling 911 (if needed). </li>
<li>Providing first aid (if trained staff is available). </li>
<li>Taking or sending the injured employee to a State Fund Medical Provider Network (MPN) facility if he or she has not predesignated a physician.</li>
<li>Employees who have predesignated can be sent to their personal physician.</li>
</ul>
<h2>File A Claim </h2>
<p>Report a claim to State Fund by:</p>
<ol start="1" type="1">
<li>Log on to State Fund Online and report a claim electronically.<br>
<br>
<strong>OR</strong><br>
<br>
</li>
<li>Calling our toll-free Customer Service Center at (888) 782-8338. An expert claims representative will assist you with reporting an injury and locating a Medical Provider Network doctor.<br>
<br>
<strong>OR</strong><br>
<br>
</li>
<li>Go to our <a href="/claims/ClaimsKit.asp">Claims Kit</a> page to download and complete the required claims documents. Completed forms should be faxed to (800) 371-5905. As an employer, you’ll also find other non-claim-related forms you are required by law to post or provide. Go to our <a href="/claims/EmployerRequirements.asp">Employer Requirements</a> page to download them.</li>
</ol>
<p>If your employee’s injury was serious or resulted in death, you should contact the Division of Occupational Safety & Health’s Cal/OSHA Enforcement Unit immediately. You may obtain Cal/OSHA Enforcement Unit District Office information online at <a href="https://www.dir.ca.gov/dosh/Districtoffices.htm">www.dir.ca.gov/dosh/Districtoffices.htm</a>. </p>
<p>To find claim or adjuster information automatically, use our Virtual Assistant on the main page of the <a href="/employees/Index.asp">“I’m An Employee”</a> section.</p>
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