HOW TO REPORT ON-THE-JOB INJURIES

Reporting on-the-job injuries is as easy as placing a telephone call or sending a fax. The most important part of the process is communication - among injured workers, City supervisors and the Workers' Compensation Division of the Personnel Department.

NOTE FOR SWORN SUPERVISORS

For sworn employees, injuries are reported to your Medical Liaison office instead of directly to the Personnel Department. The Police Department's Medical Liaison can be reached at (213) 485-4087. The Fire Department's Medical Liaison can be reached at (213) 485-6083. Sworn claims are actually handled by a privately contracted third-party administrator. Civilian employee claims, however, are handled by the Personnel Department.

STEPS FOR REPORTING AN INJURY

  1. The injured employee reports the injury to the supervisor immediately.
  2. The supervisor must give the employee a Workers' Compensation claim form within 24 hours. If the employee is off work, the form may be mailed to the employee, but be sure to keep documentation of the mailing.
  3. The supervisor must report the injury to the Workers' Compensation Division as soon as possible, but no later than 24 hours from knowledge - 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. The examining physician submits a Doctor's First Report to the Workers' Compensation Division.
  5. When the completed claim form with the employee signature is returned, it should be checked for completeness. Once checked, a copy of the claim form, along with any materials, records or investigation reports pertaining to the injury, should be forwarded to the Workers' Compensation Division.

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