<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"> <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-STATEFUND (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"> <div id="subNav"> <ul> <li id='subNavHightlight'><a href='/claims/FileAClaim.asp'>File a Claim</a><ul><li><a href='/claims/ClaimsReportingCtr.asp' title=''>&raquo; 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> </ul> </div> <div class="sidesubsubnav"> <div class="subheadr">Quick Links</div> <ul> <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> </ul> </div> </div> <div class="submiddle"> <sp> <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 &amp; 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> </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; 2000-2021 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>