VISION:

This Office lawfully administers workers’ compensation benefits in an equitable manner that reflects and demonstrates our respect for the employee.

MISSION:

Our mission is to promote the concept that each employee is a valued member of the workforce; to provide workers’ compensation benefits in an timely manner to employees injured on the job; and to return injured workers to suitable, gainful employment by:

• Providing workers’ compensation benefits per legislative mandates, County ordinance and applicable statutes.
• Providing quality medical care, thereby limiting costs and litigation.
• Assisting injured employees in returning to work as soon as medically permissible.
• Administering the program with care; providing information to injured employees; and treating all parties with fairness, courtesy and respect.
• Establishing and maintaining a level of awareness within the County’s departments while promoting the following: involvement in timely reporting; return to work via early return to work program, modified or alternative work, or vocational rehabilitation; and an understanding of responsibilities and interactions with Safety, Americans with Disability Act, Retirement, and other programs.
• Providing ongoing training and education to the workers’ compensation unit, to promote professional development and greater efficiency and awareness of legislative change.

VALUES:

To accomplish our mission and realize our vision, we will:

• Treat all customers with dignity, respect and empathy.
• Administer codes, rules and regulations with consistency, objectivity and fairness.
• Work to improve our interpersonal communication skills.
• Respond to customer needs in a compassionate, courteous and timely manner.
• Manage caseloads in a proactive manner.

Telephone Numbers:

The Workers' Compensation General Office phone number is (916) 876-5251.
The fax phone number is (916) 876-5157.

Listed below are links to maps for two (2) Med Clinic locations:

Downtown

Timberlake

Listed below is a link to Kaiser Permanente's Dedicated Occupational Health Center locations:

Kaiser

Workers' Compensation Office Forms:

• Claim Form Acknowledgement   (new 6/07)
• Designated Physician's Form   
• FAQ -- Designated Physician's Form
• Work Related Illness/Injury Supervisor's Check List
• Authorization to Release Records
• Benefit Election Form
• Supervisor's Report of Illness/Injury
• State of California Employer's Report of Occupational Injury or Illness
• Workers' Compensation Information and Guidelines

To Obtain Workers' Compensation Forms from County General Services Central Stores:

General Services Commodity Codes for WC Forms

Inquire about the availability of documents in alternate formats.