Workers' Comp Coordinator Marti Lugo may be reached at 831-755-4645 or email at This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Forms and information for Workman's Compensation Claims
- Instructions for Filing a Workman's Compensation Claim
- DWC-1
- 5020
- Report of Employee Incident
- Privileged and Confidential Incident Investigation Report to County Counsel
- Guide for Identifying Causal Factors and Corrective Actions
- Incident Witness Statement
- Medical Referral
- Modified Work Activity Form
- Physician Notification Memo
Additional information:
