报告受伤

If you are injured at work, you must take the following steps immediately in order to qualify for Workers’ 补偿 benefits:

1. Report the injury to your supervisor or Yazmin佩雷斯 – 408-924-2155
   1. If you must seek medical attention first, notify your supervisor or Yazmin佩雷斯 @ 408-924-2155 尽快.
2. 寻求医疗救助

Your supervisor must then take the following steps:

1. 完成 Employer’s Report of Occupational Injury or Illness [pdf] 
2. Write the description of the accident using the employee’s own account
3. Give you (the employee) a copy of the Workers’ 补偿 Claim Form (DWC 1) and Notice of Potential Eligibility [pdf]
4. 签署并提交这两份表格 DocuSign to Yazmin佩雷斯 当完成.

额外的信息

• 寻求医疗救助
• 处方药
• 工业伤残假
• Workers' Comp 形式 and 政策
• Report Unsafe Working Conditions

For additional information contact up-leaves@hxshoe.com.