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Injured At Work? Consult With A Certified Specialist
Free Workers’ Compensation Consultation with Experienced Los Angeles Attorneys
www.NikkiJacobson.com/Consultation
Work Injury
Work Comp
Workers Comp
Workers Compensation
Injured at Work
Workplace Injury
Best Lawyers
Super Lawyers
Certified Specialist
Injured At Work? Consult With A Certified Specialist
Free Workers’ Compensation Consultation with Experienced Los Angeles Attorneys
www.NikkiJacobson.com/Consultation
Work Injury
Work Comp
Workers Comp
Workers Compensation
Injured at Work
Workplace Injury
Best Lawyers
Super Lawyers
Certified Specialist
Injured At Work? Consult With A Certified Specialist
Free Workers’ Compensation Consultation with Experienced Los Angeles Attorneys
www.NikkiJacobson.com/Consultation
Work Injury
Work Comp
Workers Comp
Workers Compensation
Injured at Work
Workplace Injury
Best Lawyers
Super Lawyers
Certified Specialist
#AskNikkiNow: Experienced Los Angeles
Workers’ Compensation (Work Injury)
and Immigration Lawyers
#AskNikkiNow: Experienced Los Angeles
Workers’ Compensation (Work Injury)
and Immigration Lawyers
Injured At Work? Consult With A Certified Specialist
Free Workers’ Compensation Consultation with Experienced Los Angeles Attorneys
www.NikkiJacobson.com/Consultation
Work Injury
Work Comp
Workers Comp
Workers Compensation
Injured at Work
Workplace Injury
Best Lawyers
Super Lawyers
Certified Specialist
Injured At Work? Consult With A Certified Specialist
Free Workers’ Compensation Consultation with Experienced Los Angeles Attorneys
www.NikkiJacobson.com/Consultation
Work Injury
Work Comp
Workers Comp
Workers Compensation
Injured at Work
Workplace Injury
Best Lawyers
Super Lawyers
Certified Specialist
Injured At Work? Consult With A Certified Specialist
Free Workers’ Compensation Consultation with Experienced Los Angeles Attorneys
www.NikkiJacobson.com/Consultation
Work Injury
Work Comp
Workers Comp
Workers Compensation
Injured at Work
Workplace Injury
Best Lawyers
Super Lawyers
Certified Specialist
#AskNikkiNow: Experienced Los Angeles
Workers’ Compensation (Work Injury)
and Immigration Lawyers
#AskNikkiNow: Experienced Los Angeles
Workers’ Compensation (Work Injury)
and Immigration Lawyers
How To File A Workers’ Compensation Claim?
Free Workers’ Compensation Consultation
File a claim form (DWC-1)
File a claim form (DWC-1) to protect your rights and start the workers’ compensation process. Your employer must give or mail you a claim form within one working day after learning about your injury or illness. If your employer doesn’t give you the claim form you can download it from the forms page of the DWC website.
How to fill out a claim form
Complete only the “employee” section of the form and send it to your employer right away. Be sure to sign and date the claim form and keep a copy for your records. Return the claim form to your employer in person or by mail. If you mail the claim form, use certified mail — return receipt requested — so you have a record of the date it was mailed and the date it was received. If you don’t return the completed form to your employer you may risk your right to benefits.
What happens next?
Your employer should fill out the “employer” section and forward the completed claim form to the insurance company. You should receive a copy of the completed claim form from your employer. If you don’t, request a copy and keep it for your records.
Generally, the insurance company has 14 days to mail you a letter telling you the status of your claim. If you don’t receive this letter, call the insurance company to find out the status of your claim.
Want to learn more? Find it in the guidebook
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Los Angeles Workers’ Compensation Lawyers – Free Consultation – consultation@nikkijacobson.com
Clients
Attorney Nikki Mehrpoo Jacobson has represented individual clients in immigration (visa) and workers’ compensation (work injury) matters employed at a variety of companies in California, the United States and through out the world.
Below is a partial list of the employers:
ADP Total Source, Inc.
AGBT – American Express Global Business Travel
Alliance for Sustainable Energy
American Express
American Family Insurance
Anheuser-Busch Companies, LLC
Avera
Bank of America
Barclays
Becker’s School Supplies
BlackRock
Blue Coat Systems Inc.
Boston Scientific Corporation
Bridgepoint Education, Inc.
Broadcom Corporation
Callaway Golf
Career Education Corporation
Carle Foundation Hospital
Catalina Marketing Corporation
Cedar Sinai Medical Center
Center Light Health System
Cerner Corporation
Chapman University
CIT Group Inc.
City of Coral Gables
Cognizant Technology Solutions
Concentric Rockford Inc.
Credit Suisse
Data Card Corporation
Dealertrack Technologies, Inc.
Deloitte LLP
Enovation Controls
Ernst & Young LLP
Everest Reinsurance Company
Gander Mountain
Golub Corporation D/B/A “Price Chopper”
Health Net Inc.
Houston Methodist
Humana Inc.
Huntington Ingalls Industries, Inc.
Hyatt
Jack Henry & Associates
John Hancock Life Insurance Company (USA)
JPMorgan Chase
Lahey Clinic Foundation, Inc.
Lakeside Union School District
Latham & Watkins LLP
Laureate Education, Inc.
Legal Resources
Leggett & Platt
Levi Strauss & Company
Luther Holding Company DBA Luther Automotive
Madison Square Garden
McCarthy Building Companies, Inc.
Meridian Health System
Merrill Communications, LLC
MITRE Corporation
Morgan Stanley
NCCI Holdings, Inc.
NetApp, Inc.
Northeast Rehabilitation Health Network
Northrop Grumman Corporation
NVIDIA Corporation
NYU Hospitals
Office Depot
Palomar Health
Presence Health
Prudential Insurance Company
Purdue University
Raytheon Company
Recall Corporation
Regus Management Group LLC
Sage Colleges
Scripps Health
SeaWorld Parks & Entertainment, Inc.
SHPS, Inc.
Southern Research Institute
Southwest Research Institute
Sprint
St. Catherine University
Stanford Hospital & Clinics
Staples, Inc.
State of Georgia
State Street
Synopsys, Inc.
The Knot
Tufts University
U-Haul International
United Nations Staff Union
United Rentals, Inc.
United Technologies Corporation Aerostructures Division
University of North Florida
UPMC
UPS – United Parcel Service, Inc.
Vail Resorts Management Company
Valdosta City Schools
Vanguard
Vantiv, Inc.
Visa Inc.
Vitas Hospice Services LLC
Western Asset Management Co.
Worcester Polytechnic Institute
Zale Corporation
Experienced Los Angeles Immigration & Workers’ Compensation (Work Injury) Lawyers
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