State of California

  M E M O R A N D U M

  REFERENCE CODE:
  2001-038

  DATE:
  September 24, 2001

  TO:
  Health and Safety Officers
  Personnel Officers
  Return-to-Work/Claims Coordinators

  FROM:
  Department of Personnel Administration
  Benefits Division

  SUBJECT:
  Workers' Compensation Employee Brochure

  CONTACT:
  Shelby Wineinger, Workers' Compensation Program Trainer
  (916) 445-9760, CALNET 485-9760
  FAX: (916) 322-3769
  Email: ShelbyWineinger@dpa.ca.gov


  Attached is a copy of the workers' compensation employee 
  brochure entitled I've Just Been Injured on the Job, "What 
  Happens Now?"  This brochure has been developed in 
  accordance with Section XI New Program Development and 
  Process Improvement (B)(2) of the new Master Agreement.  It 
  is recommended that supervisors or departmental 
  representatives provide this brochure to the injured worker 
  at the time they are given the Employee Claim for Workers' 
  Compensation Benefits form (SCIF 3301). 
  
  Prior to providing the brochure to the injured worker, the 
  supervisor or departmental representative must complete the 
  contact information section at the bottom of page two.  
  Space is provided at the bottom of page two for each 
  department to insert the name of its designated 
  representative and the number for the appropriate State 
  Compensation Insurance Fund (SCIF) office.
  
  Please note that this brochure is intended to complement 
  the existing State Employees' Guide to Workers' 
  Compensation pamphlet (SCIF 13730).  To obtain the SCIF 
  13730, call the SCIF forms mailbox at (916)567-7526 and 
  leave your name, contact number, department's name, mailing 
  address, and the name and/or form number you are 
  requesting.  SCIF provides the SCIF 13730 at no charge to 
  your department.
  
  
  
  This brochure is designed to answer the most common 
  questions asked by an injured worker.  The intent behind 
  the development of this brochure is to explain the workers' 
  compensation system to the injured worker at the onset of 
  the claims process.  Ideally, providing this information to 
  the injured worker will help mitigate or reduce early 
  litigation rates, which often occur because injured workers 
  do not understand the workers' compensation system.
  
  If you have any questions about the I've Just Been Injured 
  on the Job, "What Happens Now?" brochure or this PML, 
  please contact Shelby Wineinger, Trainer of DPA's Workers' 
  Compensation Program, at (916) 445-9760.
  
  
  
  
  Terri Westbrook, Chief
  Benefits Division
  
  Attachments will be distributed via mail.