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STEPS FOR REPORTING AN INJURY:

1. Injured employee reports injury to supervisor immediately.

2. Supervisor gives injured employee a Workers' Compensation claim form within 24 hours. If the employee is off work, the form may be emailed or mailed to the employee, but be sure to keep documentation of the mailing.

3. Supervisor reports the injury to the Workers' Compensation Division as soon as possible and no later than 24 hours from learning of injury. This may be done via phone at (213) 473-3400, via fax at (213) 473-3333 or 3334, or via email at per.wcdiv@lacity.org.

4. Examining physician submits a Doctor's First Report to the Workers' Compensation Division.

5. Employee signs and returns completed form to supervisor within 24 hours of injury

6. Supervisor checks for completeness and submits a copy of the claim form, along with any materials, records or investigation reports pertaining to the injury to the Workers' Compensation Division.

Note: These are BASIC guidelines. For more detailed information, please consult the Supervisor's Guide To Workers' Compensation.

Below is a simplified process map highlighting the usual flow of a claim and a one-page reference guide to help guide you through.