Forms and Resources | Workers Comp | UC Davis Health

• Workers’ Compensation Claim Form (DWC1) (PDF)
• Designation of Physician Form (DOC)
• Ecotime Job Aid (PDF)
• Notice to Employees - Injuries Caused By Work (PDF)
• Temporary Accommodation Form (DocuSign)
• Workers’ Compensation Election Form and Instructions (PDF)
• UC Davis Health 2942 Workers’ Compensation Policy (staff only)

Other Employee Resources

• Benefits
• Employee & Labor Relations at UC Davis Health
• Occupational and Employee Health Clinic
• UC Davis Health Leaves of Absence
• UC Davis Health Payroll Services (intranet only)
• UCPath at UC Davis (academic personnel system)