Keyboard with key reading Human Resources

California law guarantees certain benefits to employees who are injured or become ill because of work performed in the course of the job. Some of the benefits are medical care, payment for lost wages, and rehabilitation.


Pre-designation Form: Personal Physician (.pdf fillable):

Employees can receive treatment from their pre-designated Personal Physician - if the pre-designation is provided in writing, to the District before experiencing a work related injury. Employees who do not pre-designate a Personal Physician may seek treatment from one of the Panel Providers listed below.

Panel Providers (in alphabetical order):

Doctors On Duty  (locations in Salinas, Marina, Seaside, Monterey, and Watsonville)
Pinnacle Health Care (locations in Salinas, King City, Hollister, and Watsonville)
WorkWell Medical Group (locations in Salinas and King City)
Harbor Health Medical Provider Network (See "Notice" above)

Workers' Compensation Reporting Process (.pdf)

Supervisor's Accident/Injury Report Form (.pdf fillable)
Employee Claim Form for Workers' Compensation Benefits (.pdf fillable)
New Hire Informational Brochure - English (.pdf) 
New Hire Informational Brochure - Spanish (.pdf)

Additional information from the Department of Industrial Relations:

Information and Assistance: How to file a claim (.pdf)