Filing a Workers' Comp Claim
Submitting the Report of Employee/Volunteer Injury/Illness form does not file a claim for workers' compensation benefits.
After receiving your Injury Report, the CSUF Workers' Compensation Office will monitor your medical treatment to determine if level of care exceeds first aid treatment.
- First aid treatment may be appropriate treatment and is not considered a workers' compensation benefit even though first aid costs will be paid by the University.
- If medical treatment exceeds first aid treatment at the initial or subsequent medical visits, Workers' Compensation will send you a State of California Workers' Compensation Claim Form (DWC-1) if you have not received one from your supervisor.
If you wish to initiate a claim:
- Complete and sign the Employee portion of the DWC-1 form. Describe your injury or illness completely. Include every affected part of your body.
- Make a copy of the form for your records.
- For expediency, fax a copy of the form to Workers' Compensation: (657) 278-1279.
- Mail the original form to Workers' Compensation, CP 700. By returning the DWC-1 form, you are actually filing a claim for workers' compensation benefits.