Report an Injury

Need to report an injury?


Workplace injuries can be stressful and we strive to make reporting a claim as straightforward as possible

OUR CLAIMS TEAM IS AVAILABLE TO ASSIST YOU WITH FILING A CLAIM BETWEEN THE HOURS OF 8:30AM AND 5:00PM PST, BY CALLING US TOLL FREE AT (877) 625-6566
Fax your completed forms to:
Care West’s Claims Unit at
(209) 574-2839
Mail your completed forms to:
P.O. Box 5038
Modesto, CA 95352
Please note, the State of California requires submission of Employer’s First Report of Injury and the DWC-1 within five (5) days of knowledge of injury.