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.

What to do

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.

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 form and read the instructions at the top.

2. Fill out a claim form

  • Fill out the "Employee" section.
  • Sign and date it.
  • Keep a copy for your records.
  • Return the form to your supervisor.

3. Next steps

  • Supervisor completes the DWC-1 form
  • They send the completed form to the assigned workers' compensation coordinator of the department.
  • The compensation coordinator records the loss, finishes the department paperwork, and sends all necessary worker's compensation documents via email to, copying the Claims Supervisor responsible for the department.
  • The claim is set up and assigned to an adjuster. 
  • Be sure to obtain a copy of the completed claim form from your supervisor.

4. Wait to hear back

  • You will be contacted by a claims adjuster within 2 business days of assignment of the claim to learn more about your injury and illness and gather additional information to help process your claim.
  • The claims administrator has 14 days to send you a status letter about your claim.
  • If you do not receive a letter, you should contact a workers' compensation representative.

5. Faster alternative

  • The Nurse Triage line is available 24 hours/day, 7 days per week.
  • A live nurse takes the report and provides advice on self-care.
  • The Triage Nurse provides the employee with a blank Claim Form (Form DWC-1) to complete. 
  • The nurse sends an incident report to the Workers Compensation Division.
  • Finally, the claim is set up.

Last updated March 27, 2024