Form DLSR5020 Employer's Report of Occupational Injury or Illness - California

What Is Form DLSR5020?

This is a legal form that was released by the California Department of Industrial Relations - Division of Workers' Compensation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DLSR5020?A: Form DLSR5020 is the Employer's Report of Occupational Injury or Illness, specifically for the state of California.

Q: Who needs to fill out Form DLSR5020?A: Employers in California need to fill out Form DLSR5020 if an employee has a work-related injury or illness.

Q: What information needs to be provided on Form DLSR5020?A: Form DLSR5020 requires information about the injured or ill employee, details of the incident, and the employer's contact information.

Q: When should Form DLSR5020 be submitted?A: Form DLSR5020 should be submitted within five days of the employer's knowledge of the injury or illness.

Q: Why is Form DLSR5020 important?A: Form DLSR5020 is important for recording and reporting work-related injuries or illnesses, as required by the state of California.

Q: Are there any penalties for not submitting Form DLSR5020?A: Failure to submit Form DLSR5020 in a timely manner can result in penalties imposed by the state of California.