SERVICE

File a Workers' Compensation claim

Follow these steps if you are injured on the job while working for the City and County of San Francisco.

Human Resources

What to know

In case of medical emergency, please call 911, or report to the nearest emergency room.

What to do

1. Report the work injury or illness to a supervisor or manager

  • The supervisor or manager provides the employee with a Claim Form (Form DWC-1) within 24 hours of knowledge. 
  • Or download the DWC-1 form and complete it.

2. Seek medical treatment

  • 24/7 Nurse Triage Hotline: Injured employees or the employee’s supervisor can call 1-866-932-5321 for First Responders or 1-855-850-2249 for other employees. (Please include links to both civilian flyer and First Responder flyer)
  • Designated Medical Treatment Facilities available as to where to seek care near your home or work location.
  • Treatment for your injury generally must be through our Medical Provider Network (MPN). You may change physicians at any time within the network for the duration of your injury.

3. Next steps

  • Supervisor completes the DWC-1 form
  • They send the completed form to the assigned workers' compensation coordinator of the department.
  • The workers' compensation coordinator records the loss, finishes the department paperwork, and sends all necessary worker's compensation documents via email to ccsf.workcomp@sfgov.org, copying the Claims Supervisor responsible for the department.
  • The claim is set up and assigned to an adjuster.
  • Your claims adjuster will contact you within 2 business days of assignment of the claim to learn more about your claim, gather additional information, and explain to you important information as to what to expect next.
  • If you do are not contacted or receive any information from us, you should contact your workers' compensation representative.