Resources

• FAQs for Injured Workers
• Guidebook for Injured Workers
• Guidebook for Injured Workers – Spanish

DWC Fact Sheets = DWC Fact Sheets are documents which can be used by both the injured workers and policyholders to provide an overview of the laws which govern the claims administration process in the State of California. These forms are also available on the DWC website at www.dir.ca.gov .

• Employee Fact Sheet - English 
• Employee Fact Sheet - Spanish 
• Fact Sheet A - Utilization Review - English  
• Fact Sheet A - Utilization Review  - Spanish  
• Fact Sheet B - Glossary of Workers' Comp Terms - English  
• Fact Sheet B - Glossary of Workers' Comp Terms - Spanish  
• Fact Sheet C - Temporary Disability - English  
• Fact Sheet C - Temporary Disability - Spanish  
• Fact Sheet D - Permanent Disability - English  
• Fact Sheet D - Permanent Disability - Spanish  
• Fact Sheet E - Qualified Medical Evaluation/Agreed Medical Evaluation - English  
• Fact Sheet E - Qualified Medical Evaluation/Agreed Medical Evaluation - Spanish  

Mileage Reimbursement Request for Injured Worker Use = Injured workers should use this form to log their mileage so that PacificComp can reimburse them for travel related to their medical treatment.

• English
• Spanish
• State Form