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<div class='html-Content' xmlns="https://www.w3.org/1999/xhtml"> <div class='head-Content'> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"> <title> File A Claim </title> <meta name="keywords" content="File A Claim"> <meta name="description" content="File A Claim"> <meta name="robots" content="noindex"> <link rel="stylesheet" type="text/css" href="/stylesheets/mobile_styles.css"> <style type="text/css"> <!-- @import url("/stylesheets/statefund_styles.css"); --> </style> <style type="text/css" media="handheld, only screen and (max-device-width: 480px)"> <!-- @import url("/stylesheets/mobile_styles.css"); --> </style> <link href="/stylesheets/statefund_styles.css" rel="stylesheet" type="text/css" media="screen and (min-width: 481px)"> </div> <div class='body-Content' id=""> <div class="topheader"><a href="/index.asp" name="home"><img src="/images/state_fund_logo.gif" alt="state fund logo" border="0" align="left"></a> <div class="offscreen"><img src="/images/offscreen_transparency.gif" alt="" width="250" height="20" align="center"></div> <ul id="accessibility" class="offscreen"> <li><a href="#skipnavigation" accesskey="0">Skip past navigation</a></li> <li><a href="#footer" accesskey="4">Skip to table of contents</a></li> </ul> <div class="offscreen"><img src="/images/offscreen_transparency.gif" alt="" width="250" height="20" align="center"></div> <div class="topheaderRight"> <div class="topnav"> <div class="topnavRight"><a href="/index.asp" accesskey="5">Home</a> | <a href="/contact/ContactUs.asp" tabindex="1">Contact us</a></div> <div class="topnavLeft"><a href="/employers/Index.asp" name="Employer">EMPLOYERS</a> | <a href="/broker/Index.asp" name="Broker">BROKERS</a> | <a href="/provider/Index.asp" name="Medical Provider">MEDICAL PROVIDERS</a> | <a href="/employees/Index.asp" name="Employee">EMPLOYEES</a> | <a href="/statecontracts/Index.asp" name="State Contracts">STATE AGENCIES</a></div> </div> <div class="topPhonenumber2"><a href="/CustomerSupport/Index.asp"><strong><font size="4px">Customer Support</font></strong></a><br>(888) 782-8338</div> <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. </div> </div> <br><br><br> </div> <div id="mainNav2"> <div id="mainNav3"> <div class="offscreen"><img src="/images/offscreen_search.gif" alt="" width="250" height="20" align="left"><br> <br> </div><div class="search"> <form name="search" action="https://search.scif.com/StateFundCAsearch.cgi" method="get"><input value="Search" name="query"></form> </div><div class="offscreen"><img src="/images/offscreen_transparency.gif" alt="" width="250" height="20" align="center"><br> </div><ul> <li><a href='/about/About.asp' name='About'>About</a></li><li><a href='/policy/ObtainAPolicy.asp' name='Obtain a Policy'>Obtain a Policy</a></li><li class='on'><a href='/claims/ClaimsSvcs.asp' name='Claims Services'>Claims Services</a></li><li><a href='/safety/SafetyAndSeminars.asp' name='Safety &amp; Seminars'>Safety &amp; Seminars</a></li><li><a href='/forms/Forms.asp' name='Forms'>Forms</a></li><li><a href='/careers/Index.asp' name='Careers'>Careers</a></li> </ul> </div> </div> <a name="skipnavigation"></a> <div class="mainArea"> <div class="subright"> </div> <div class="subleft"> <style> .indent1 { padding-top: 1px; padding-bottom: 1px; padding-left: 12px; font-size: 0.8em; } </style> <div class="sidesubsubnav"> <div class="subheadr">Claims Resources</div> <ul> <li><a href="/claims/FileAClaim.asp">File a Claim</a></li> <li><a href="/employers/SB1159.asp">Report a Positive COVID-19 Test</a></li> <li><a href="/employers/manage-worker-claim.asp">Manage Your Worker's Claim</a></li> <li><a href="/claims/MPNHome.asp">Find a Medical Provider</a></li> <li class="indent1"><a href="/claims/how-to-use-provider-finder.asp">&raquo;&nbsp;How to Use the Provider Finder</a></li> <li><a href="/claims/TraumaticInjuryResources.asp">Traumatic Injury Resources</a></li> <li><a href="/sfo/register.asp">Register for State Fund Online</a></li> <li class="indent1"><a href="/employers/how-to-register-state-fund-online.asp">&raquo;&nbsp;How to Register</a></li> <li class="indent1"><a href="/employers/how-to-add-users-state-fund-online.asp">&raquo;&nbsp;How to Add Users</a></li> <li class="indent1"><a href="/employers/how-to-manage-claim-state-fund-online.asp">&raquo;&nbsp;How to Manage Claims</a></li> <li><a href="/employees/Index.asp">Claim Information for Employees</a><br></li> </ul> <div class="subheadr">Educational<br> Resources</div> <ul> <li><a href="/employees/video-understanding-your-claim.asp">Understanding Your Workers' Comp Claim (Video)</a></li> <li><a href="/claims/UtilizationReview.asp">Utilization Review</a></li> <li><a href="/employees/TD.asp">Temporary Disability</a></li> <li><a href="/employees/PD.asp">Permanent Disability</a></li> <li><a href="/employees/SJDB.asp">Supplemental Job Displacement Benefits</a><a href="/claims/how-to-use-provider-finder.asp"></a></li> </ul> </div> <p> </div> <div class="submiddle"> <style> .button { background: #2b70bf; position: relative; border: 2px solid #ffffff; margin: 1.5rem 0px 20px 0px; padding: 1rem; color: #ffffff; border-radius: 3.125rem; box-shadow: 0 0 0 0.2rem #2b70bf; text-transform: uppercase; min-height: 3rem; font-weight: 600; font-size: 14px; letter-spacing: 2px; display: inline-block; left: 35%; text-align: center; } .button a:link { background-color:#2b70bf; color: #ffffff; } .button a:visited { background-color:#2b70bf; color: #ffffff; } .button a:visited:hover { background-color:#2b70bf; color: #FF945B; } .flx-ovrlp { padding: 1em; z-index: 1; } .clr-gray, .clr-gray h1, .clr-gray h2, .clr-gray a, .clr-gray h3 { background-color: #eeeeee; color: #000000; } .mb-2 { margin-bottom: 1em !important; } .txt-clr-scifblu-dk { color: #003c71 !important; } .clr-scifblu-dk, .clr-scifblu-dk h1, .clr-scifblu-dk h2, .clr-scifblu-dk a, .clr-scifblu-dk h3 { background-color: #003c71; color: #ffffff; } .txtlg { font-size: 125%; } </style> <sp> <h1>File a Claim</h1> <p>Filing a claim quickly after a workplace injury occurs can help ensure any needed treatment can be provided timely, which will improve outcomes for the injured worker.</p> <p>If you are the injured worker, we have <a href="/employees/file-claim-if-injured.asp">developed resources to assist you</a> in the claims process. </p> <p>Ready to file a claim now? Log in and file using State Fund Online.</p> <div class="button"><a href="https://statefundonline.scif.com" target="_blank">File a Claim</a></div> <p>In addition to ensuring the best outcome, some steps are required to be completed within certain timeframes after a work injury occurs or is known.</p> <ul> <li><a href="/pdf/3067.pdf">Employer&rsquo;s Report of Occupational Injury or Illness 3067</a> must be submitted no later than five days after the injury or illness occurs or is known.</li> <li>Here are <a href="/forms/forms.asp">all required forms</a>.</li> <li><a href="https://www.dir.ca.gov/dosh/report-accident-or-injury.html">Cal/OSHA</a> must be notified within 24 hours if the injury is serious or results in death.</li> </ul> <h2>Getting treatment for your injured worker</h2> <p>Immediate treatment of the injury could include calling 911, providing first aid, and/or sending the injured worker to a physician in <a href="/claims/MPN.asp">State Fund&rsquo;s Medical Provider Network</a> or their predesignated physician.</p> <p> If you need assistance finding a physician or scheduling an appointment, you can contact our Medical Access Assistants, Monday through Saturday, 7 AM to 8 PM.</p> <ul> <li>Phone: (888) 782-8338</li> <li>Fax: (800) 371-5905</li> <li>Email: <a href="mailto:StateFundMPNMAA@scif.com">StateFundMPNMAA@scif.com</a></li> </ul> <h2>Three ways to file a claim</h2> <h3><strong>Online</strong></h3> <p>File through <a href="https://statefundonline.scif.com/">State Fund Online</a>. </p> <p> Claims can be filed any time 24/7. Besides filing a claim, State Fund Online provides tools to manage your claim and communicate directly with your claims adjuster. </p> <p> If you bound your policy with us through <a href="https://www.StateFundDirect.com">www.StateFundDirect.com</a>, you will use the username and password you created there to access State Fund Online.</p> <p> See our guides on <a href="/employers/how-to-register-state-fund-online.asp"">How to Register for State Fund Online</a>, <a href="/employers/how-to-file-a-claim.asp">How to File a Claim on State Fund Online</a>, and <a href="/employers/how-to-manage-claim-state-fund-online.asp">How to Manage Your Claim in State Fund Online</a>, for more information.</p> <h3><strong>Over the phone</strong></h3> <p>Call our customer support line, at (888) 782-8338, Monday through Friday, 7:30 AM to 5:30 PM<strong>. </strong>Our staff will complete the paperwork on your behalf right over the phone and immediately assign a claim number to your case. We will refer you to a physician and will provide you written copies of all documents by mail or fax.</p> <h3><strong>Fax</strong></h3> &nbsp;Complete these claims forms and submit by fax to (800) 371-5905.<strong> </strong> <p> <ul> <li><a href="/pdf/e3301.pdf?_gl=1*1u2yng1*_ga*MTY5NDAzNTg3Mi4xNjM3MDAzNDgw*_ga_6D9H3JDBMZ*MTY1Mjk4NDEyMC4yMTIuMS4xNjUyOTg1MjE5LjA">Workers' Compensation Form</a><u></u></li> <li><a href="/pdf/3067.pdf?_gl=1*1vil8r2*_ga*MTY5NDAzNTg3Mi4xNjM3MDAzNDgw*_ga_6D9H3JDBMZ*MTY1Mjk4NDEyMC4yMTIuMS4xNjUyOTg1MjE5LjA">Employer&rsquo;s Report of Occupational Injury or Illness</a><u></u></li> </ul> <p>Our <a href="/pdf/e13675.pdf?_gl=1*1636ci0*_ga*MTY5NDAzNTg3Mi4xNjM3MDAzNDgw*_ga_6D9H3JDBMZ*MTY1Mjk4NDEyMC4yMTIuMS4xNjUyOTg1MjExLjA?">Claim Kit</a> provides more detail about these forms and the instructions for completing them.</p> </sp> </div> <div style="clear:both"></div> </div> <a name="footer"></a> <div class="footerArea"> <div class="footerbg"> <ul> <li> <div class="footerSpacer"></div> <a href="/broker/Index.asp">Brokers</a> <br> <a href="/employers/Index.asp">Employers</a> <br> <a href="/employees/Index.asp">Employees</a> <br> <a href="/fraud/Fraud.asp">Fraud</a> <br> <br> </li> <li> <div class="footerSpacer"></div> <a href="/provider/Index.asp">Medical Providers</a> <br> <a href="/statecontracts/Index.asp">State Agencies</a> <br> <a href="/policy/ObtainAPolicy.asp">Obtain a Policy</a> <br> <a href="/about/VendorGuide.asp">Vendor Guide</a> <br> <br> </li> <li> <div class="footerSpacer"></div> <a href="/claims/ClaimsSvcs.asp">Claims Services</a> <br> <a href="/safety/SafetyAndSeminars.asp">Safety & Seminars</a> <br> <a href="/forms/Forms.asp">Forms</a> <br> <a href="/about/Community.asp">Community</a> <br> <br> </li> <li> <div class="footerSpacer"></div> <a href="/about/About.asp">About Us</a> <br> <a href="/about/history/index.html">History</a> <br> <a href="/contact/ContactUs.asp">Contact Us</a> <br> <a href="/CustomerSupport/Index.asp">Customer Support</a> <br> <br> </li> </ul> <div style="clear:left"></div> </div> </div> <div class="footerArea" align="center">Copyright &copy; 2000-2023 State Compensation Insurance Fund<br> <a href="/about/TermsOfUse.asp">Website Terms of Use</a>, <a href="/about/PrivacyPolicy.asp">Website Privacy Policy</a> and <a href="/about/SharingDisclosure.asp" target="_blank">Information Sharing Disclosure</a></div> </div> </div>

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