GovernmentCommunityBusinessVisitorsHow Do I
Click to Home

Go To Search
Like Us   Follow Us   TC Connect
Worker's Compensation
About the Program
The Worker’s Compensation program provides benefits to injured county employees as well as other qualified recipients. The Worker’s Compensation Program is a self-insured program, with York Insurance Servicesproviding claims adjusting services. This program consists of managing Worker’s Compensation claims as well as to help an injured worker return to full health and work as soon as possible following an injury.

Return to Work Program
The Return to Work Program provides opportunities for any employee who sustains a compensable injury during the course and scope of employment to return to work at full duty.  The objective of the program is to reduce and eliminate the number of lost work days and increase the potential for a faster recovery for the employee and expedite an early return to the employee’s usual and customary position.

Physician Predesignation
Employees may predesignate their own physician for on-the-job injuries or illnesses.  If no predesignation form is on file, the employee must be seen at one of the following locations:

Forest Road Prompt Care
193 South Fairview Lane, Suite A
Sonora, CA  95370
209.536.5130

Prompt Care - Indian Rock Center
14540 Mono Way
Sonora, CA  95370
209.532.3167

Sonora Regional Medical Center
1000 Greenley Rd
Sonora, CA 95370
209-536-5000

Reporting Injury or Illness
When an employee is injured at work, he/she must report the injury to his/her supervisor and file claim forms. Serious injuriesshould be reported to Human Resources / Risk Management immediately.

Claim Process

  1. Employee completes the Employee’s Claim for Worker’s Compensation Benefits form (DWC-1).
  2. The employee’s supervisor completes the Supervisor’s Investigation Report and Acknowledgement of Receipt of Employee Claim form. The completed forms are submitted to Human Resources / Risk Management.
  3. Human Resources / Risk Management staff completes the Report of Occupational Injury or Illness (5020 form) online.

Claims must be filed promptly to ensure benefits are received and to comply with state requirements.