LWP Claims
Broker Resources

LWP claims kit

Before an injury

Welcome to LWP Claims
How LWP Assists You and Your Employees
Workers' Compensation Benefits at a Glance
LWP Claims Team Directory Foresight

Mandatory postings

Notice to Employees - Injuries Caused by Work
Notice-to-Employees-Injuries-Caused-by-Work-English-2
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Notice-to-Employees-Injuries-Caused-by-Work-Spanish-2
Fraud Poster
Fraud-poster-English
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Fraud-poster-Spanish
Instructions for Creating a Medical Panel

Time of hire packet

Time of hire packet
Timeof-Hire-Packet-English-2
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Timeof-Hire-Packet-Spanish-2
Medical provider network
Medical-Provider-Network-Information-English-2
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Timeof-Hire-Packet-Spanish-2
Supplemental notice medical access assistance
Predesignation notice
Medical-Service-Referral-LWP
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Predesignation-Notice-Spanish

Incident reporting

Incident reporting portal request

Covid 19 reporting requirements per SB 1159

Covid 19 occurrence report form
LWP SB1159 FAQs
LWP Claims

After an injury

What to Do When an Injury Occurs
Offer of Medical Treatment

Employers report of injury (Form 5020)

Instructions for completing the Employer's Report of Injury - Form 5020
Employer's Report of Injury - Form 5020

Employers’ report of injury (Form DWC1)

Instructions for completing DWC1 Form
Worker’s Compensation Claim Form DWC1

Investigation

Supervisors report of injury or illness
Supervisors-Report-of-Injury-or-Illness(English)
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Supervisors-Report-of-Injury-or-Illness(Spanish)

Sending the employee to the medical provider

Sending the employee to a Medical Provider (Platinum MPN)
Employer's approval for medical attention
Foresight RX Bridge First Fill Card
RX-Bridge-Foresight-First-Fill-Card-English
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RX-Bridge-Foresight-First-Fill-Card-Spanish

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