On September 3, 2015, the Office of Administrative Law (OAL) has approved the Division of Workers’ Compensation (DWC) revised benefit notice regulations. The regulations are found in Title 8, California Code of Regulations, Sections 9810, 9811, 9812, 9813, 9814, 9815, 9881.1, and 10139.

If you have any questions on these regulations, please call an information and assistance officer of the Division of Workers’ Compensation at (800) 736-7401.

DWC-7 Notice to Employees Poster - Injuries Caused by Work
The required posted notices are covered under LC 3550 and CCR 9881.

October 31, 2024 - The Division of Workers’ Compensation (DWC) has posted an updated DWC Form 7 (Notice to Employees—Injuries Caused By Work) on its website. The updated Form 7 contains additional information required by Assembly Bill 1870, as enacted in 2024, which amended Labor Code section 3550(d)(4) to require notice to injured workers that: (1) they may consult a licensed attorney to advise them of their rights under workers’ compensation laws; and (2) in most instances, attorney’s fees will be paid out of what they recovery as a result of their claims. The amendment to Labor Code section 3550 becomes operative on January 1, 2025.

 

Regulation §9881. Posting of Notice to Employees

Please click on this URL link to review the entire Regulation.

California Labor Code 3550

Please click on this URL link to review the entire Labor Code 3550.

 

Please click on this URL to download the new DWC-7

 https://www.dir.ca.gov/dwc/NoticePoster.pdf

Again, use of this DWC-7 is effective January 1, 2025.

 

Here is the DWC-7 information for the Gallagher Bassett Platinum-M MPN:

Gallagher Bassett Platinum-M MPN

  • MPN website:  www.talispoint.com/cvty/gbmpn
  • MPN Effective Date:  Differs by client and client location
  • MPN Identification number:  2471
  • Medical Access Assistant Phone Number:  1-855-446-9021
  • MPN Contact Phone Number:   1-855-203-2845

To find the location of the Information & Assistance Officer field on the DWC-7 form, please click on this URL - https://www.dir.ca.gov/dwc/dir2.htm

 

Time of Hire Notice “Facts About Workers’ Compensation”
The time of hire notice is covered under LC 3551 and §9880.

To review the entire regulations and learn the employer responsibilities for §9880 - Written Notice to New Employees, please click on this URL - https://www.dir.ca.gov/t8/9880.html .

The Time of Hire Pamphlet “Facts About Workers’ Compensation”, is effective January 1, 2016.

To download the free Gallagher Bassett Time of Hire Pamphlets, please click on the text below.   These PDF documents can edited where specific information can be entered and then saved as a new PDF.

 

 § 10139. Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility.

To review the entire regulations and learn the employer responsibilities for §10139 - Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility, please click on this URL - https://www.dir.ca.gov/t8/10139.html  .

California Labor Code Section 5401 (a)

Within one working day of receiving notice or knowledge of injury under Section 5400 or 5402, which injury results in lost time beyond the employee's work shift at the time of injury or which results in medical treatment beyond first aid, the employer shall provide, personally or by first-class mail, a claim form and a notice of potential eligibility for benefits under this division to the injured employee, or in the case of death, to his or her dependents. As used in this subdivision, “first aid” means any one-time treatment, and any followup visit for the purpose of observation of minor scratches, cuts, burns, splinters, or other minor industrial injury, which do not ordinarily require medical care. This one-time treatment, and followup visit for the purpose of observation, is considered first aid even though provided by a physician or registered professional personnel. “Minor industrial injury” shall not include serious exposure to a hazardous substance as defined in subdivision (i) of Section 6302. The claim form shall request the injured employee's name and address, social security number, the time and address where the injury occurred, and the nature of and part of the body affected by the injury. Claim forms shall be available at district offices of the Employment Development Department and the division.  

Please click on this URL to download the new DWC-1, effective January 1, 2016 - http://www.dir.ca.gov/dwc/DWCForm1.pdf