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 …

The Employer's Report of Occupational Injury or Illness (Form 5020). Every employer is required to file a complete report of every occupational injury or illness to each employee which results in lost time …

FORM 5020 (PDF - 533kb)*: State of California EMPLOYER'S REPORT OF OCCUPATIONAL INJURY OR ILLNESS. This form must be completed within 5 days of knowledge of an injury or illness.

Upon becoming aware of an employee injury or illness, provide and request the employee to complete and submit an Employee’s Report of Injury/Illness Form. In addition within 24-hours, provide the …

If an injury occurs and you have not previously requested access to LWP’s online reporting tool, please immediately complete the 5020 form and forward to LWP via email or fax.

You must file the Form 5020 - Employer’s Report of Occupational Injury or Illness for every workplace injury which results in either: Lost time beyond the day of the incident (employee misses more than …

This Employer’s Report of Occupational Injury or Illness (Form 5020) is required under California law for reporting workplace injuries or illnesses that result in lost time beyond the date of the incident or …