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Sierra Occupational Health Services is your resource for Occupational Health. We have assembled a list of relevant websites and made commonly used forms regarding Workers' Compensation available for your use.

Workers' Compensation Forms

Form 5020— Employer's report of occupational injury or illness
California law requires employers to report within five days of knowledge every occupational injury or illness which results in lost time beyond the date of the incident OR requires medical treatment beyond first aid. If an employee subsequently dies as a result of a previously reported injury or illness, the employer must file within five days of knowledge an amended report indicating death. In addition, every serious injury, illness, or death must be reported immediately by telephone or telegraph to the nearest office of the California Division of Occupational Safety and Health.

Download Form 5020

Notice to Employees— Injuries Caused By Work
A poster for employers to display to inform employees that they may be entitled to Workers' Compensation benefits should they become injured or ill because of their job.

Download Notice to Employees poster