Department of Industrial Relations

Official Website: https://www.dir.ca.gov/

The Department of Industrial Relations (DIR) was established in 1927. Its mission is to improve working conditions for California's wage earners and to advance opportunities for profitable employment in California. DIR administers and enforces laws governing wages, hours and breaks, overtime, retaliation, workplace safety and health, apprenticeship training programs, and medical care and other benefits for injured workers.

Forms & Documents

Browse all Department of Industrial Relations government forms

1 - 20 of 65 forms

Form Title Topics
2020 ANNUAL REPORT OF CLAIMS INVENTORY
ADDENDUM TO APPLICATION FOR ADJUDICATION OF CLAIM TO IDENTIFY LEGAL ENTITY EMPLOYING INJURED WORKER
Additional QME panel request
APPLICATION FOR DISCRETIONARY PAYMENTS FROM THE UNINSURED EMPLOYERS' FUND
Application for SIF Benefits
AUDIT COMPLAINT FORM
CA DIR Lien Filing Fee Refund Request
DECLARATION PURSUANT TO LABOR CODE SECTION 4906(h)
DESCRIPTION OF EMPLOYEE'S JOB DUTIES
Division of Workers’ Compensation DISABILITY EVALUATION UNIT
DIVISION OF WORKERS' COMPENSATION - MEDICAL UNIT REQUEST FOR QME PANEL UNDER LABOR CODE
DIVISION OF WORKERS' COMPENSATION REQUEST FOR RECONSIDERATION OF SUMMARY RATING BY THE ADMINISTRATIVE DIRECTOR
DOCTOR'S FIRST REPORT OF OCCUPATIONAL INJURY OR ILLNESS
EMPLOYEE'S DISABILITY QUESTIONNAIRE
EMPLOYER'S REPORT OF OCCUPATIONAL INJURY OR ILLNESS
FEE DISCLOSURE STATEMENT
Formulario de Reclamo de Compensación de Trabajadores (DWC 1) y Notificación de Posible Elegibilidad
How to file a complaint with the Audit & Enforcement Unit
INFORMATION GUIDELINES FOR SUBMISSION OF SETTLEMENT DOCUMENTS
LIEN CONFERENCE DISPOSITION FORM

Contact Information & Office Locations

1 contact point

Main Office

Phone numbers:
  • (800) 794-6900 (Division of Workers’ Compensation Medical Unit)
  • (877) 252-1987 (File an appeal regarding Cal/OSHA citations)
  • (800) 963-9424 (Free workplace safety advice for business owners)
  • (877) 992-2567 (Heat Illness Prevention helpline)

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