• First Report of Injury (5020)
• Employee's Claim for Workers Compensation Benefits (DWC-1)
• Additional forms are available from the Division of Workers Compensation website: http://www.dir.ca.gov/dwc/forms.html
• CompWeb Enrollment Form
• CompPartners - MPN Notification.  For employers with names A-M  [Spanish Version]
• Blue Cross - MPN Notification.  For employers with names N-Z [Spanish Version]
• Mandatory MPN Acknowledgement Form
• Employer Medical Service Order Form

• Benefits of Rapid Claim Reporting
• Litigation Avoidance
• New - Medical Provider Network In Place
• Click here to download ALL Reporting and Information Forms in one file
• Additional forms are available from the Division of Workers Compensation website http://www.dir.ca.gov/dwc/iwguides.html; more information on workers comp benefits and laws can be found at: http://www.dir.ca.gov/CHSWC/Injured_Worker_Factsheets.html

If you are not a registered CompWeb user and would like to enroll, Click here.

To Order Claims Kits, click here