Your employer must fill out and sign the “employer” portion of the claim form and submit the completed form to a claims administrator. This person handles claims for your employer and usually works for your employer’s insurance company. Your employer must give you a copy of the completed form within 24 hours after you filed it. Keep this copy. The claims administrator must make a written determination within 90 days as to whether they accept or deny your claim.
Please fill out the form below and one of our attorneys will contact you.
"MULTIMILLION DOLLAR AWARD:For injuries sustained to a physician blood pathologist, after being exposed to formaldehyde in the workplace."
"MILLION DOLLAR SETTLEMENT: Verizon field technician injured at work incurring serious injuries to the lower back, neck (fusion) and upper/lower extremities."
"MILLION DOLLAR SETTLEMENT: Semi-truck driver involved in an out-of-state collision while working for a Hollywood entertainment company - resulting in severe lower back, neck, chest, head, urological and psychiatric disabilities."
"MILLION DOLLAR AWARD: A welder received compensation for his injuries as a result of cadmium exposure causing brain damage."
"$1.4 MILLION SETTLEMENT: A sheet metal installer was compensated after sustaining injuries to his entire body from falling 14ft off a scissors lift."
"MULTIMILLION DOLLAR AWARD: Versus Coca-Cola for an injured worker who fell from a forklift and struck his head sustaining blunt force trauma to his neck, spine and shoulder."
"OVER $ 1 MILLION DOLLAR SETTLEMENT: Southern California Edison Employee who sustained Fibromyalgia and Psychiatric consequences of the stress and wear-and-tear of her employment."
"MILLION DOLLAR AWARD: Versus Warner Brothers for employee who sustained severe spinal disabilities as a result of the physical wear-and-tear of his employment."