District of Columbia Workers' Compensation Notice Mandatory
The Workers' Compensation Notice is a District of Columbia workers compensation law poster provided for businesses by the District of Columbia Office Of Human Rights. This is a required poster for all District of Columbia employers, and any business that fails to post this notification may be subject to penalties or fines.
OFFICE OF WORKERS’ COMPENSATION 4058 MINNESOTA AVENUE, N.E. • WASHINGTON, DC 20019 • (202) 671-1000 • (202) 671-1929 (Fax) WARNING: It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant. NOTICE OF COMPLIANCE TO EMPLOYEES1. You are required by law to report promptly to your employer and the Office of Workers’ Compensation an occupational injury or disease, even if you deem it to be minor. Form No. 7 DCWC, Notice of Accidental Injury or Occupational Disease, to be obtained from the employer or the Office of Workers’ Compensation, must be used for that purpose. After you have completed and signed the form, mail it to the Office of Workers’ Compensation at the above address, and to your employer. 2. You are entitled, if required, to the services of a physician or hospital of your choice and lost wages. Call (202) 671-1000 or visit http:does.dc.gov for information. 3. You may not sue your employer as a result of a work-related injury or disease by reason of your exclusive remedy under the Workers’ Compensation Law. 4. In order to preserve your right to benefits under the DC Workers’ Compensation Law, you must file a written claim on Form No. 7A DCWC, Employee’s Claim Application, within one (1) year after your injury, or within one (1) year after the last payment of benefits. 5. If you need information regarding your rights and obligations prescribed by law, you may call your employer first. If you require further information, you may call the Office of Workers’ Compensation at (202) 671-1000 or visit http:does.dc.gov 6. The law gives you the right to legal representation if you so choose. TO EMPLOYERS 1. You are required to have Workers’ Compensation insurance coverage if you have one (1) or more employees. 2. You are required to display this poster at each worksite so that it will be of the greatest possible benefit to your employees. 3. You must file an Employer’s First Report of lnjury or Occupational Disease, Form No. 8 DCWC, with the Office of Workers’ Compensation, send a copy to the nearest claim office of your insurer, for all occupational injuries or disease, as soon as possible, but no later than ten (10) working days after the date of knowledge thereof. 4. Your employee must file Form No. 7 DCWC, Employee’s Notice of Accidental Injury or Occupational Disease. Please provide your employee with Form No. 7 DCWC and direct them to complete it and return it to you and the Office of Workers’ Compensation. Once you have received notice from the employee, you are required to send the employee a notice of his/her rights and obligations by certified mail, return receipt requested. 5. You are required to report to the Office of Workers’ Compensation, and your insurer, any disability of more than three (3) days which was not previously reported, as soon as possible, but no later than ten (10) working days after the date of knowledge thereof. 6. You are required to furnish, or cause to be furnished, reasonable medical and hospital services, other remedial care or vocational rehabilitation, and various types of disability compensation, to an injured or disabled employee. 7. You are required to obtain from the insurer identified below a supply of all required Workers’ Compensation Forms, or you may download the forms and notice mentioned above at our website http://does.dc.gov . NOTICE: Violation of the various provisions of the Workers’ Compensation law provides for civil penalties. The undersigned employer hereby gives notice of compliance with all provisions of the Workers’ Compensation Law and Administrative Regulations. NAME OF INSURANCE COMPANY Address: ___________________________________________________________________\ _______________________________________________________________________________________________________________________________\ _______ Phone: __________________________________________________________________\ ________________ NAME OF EMPLOYER Address __________________________________________________________________\ ____________________________________________________________ Phone: __________________________________________________________ Employer Representative:______________________________________________________________________\ _____________________________________________________________________________________________________ ________________________________________________________________________\ _______________________________________________ Employer ID Number (if number unknown, employer to request from IRS) THIS NOTICE IS TO BE POSTED CONSPICUOUSLY IN AND ABOUT THE EMPLOYER’S PLACE(S) OF BUSINESS FORM NO. 1 DCWC Revised June, 2016 LABOR STANDARDS BUREAU Department of Employment Services
More District of Columbia Labor Law Posters 23 PDFS
Minimum-Wage.org provides an additional 22 required and optional District of Columbia labor law posters that may be relevant to your business. Be sure to also print and post all required state labor law posters, as well as all of the mandatory federal labor law posters.
|District of Columbia Poster Name||Poster Type|
|Required Workers' Compensation Notice||Workers Compensation Law|
|Required Unemployment Compensation||Unemployment Law|
|Required Accrued Sick and Safe Leave Act||Sick Leave Law|
|Required District of Columbia Minimum Wage Poster||Minimum Wage Law|
|Required Protecting Pregnant Workers Act||General Labor Law Poster|
District of Columbia Labor Law Poster Sources:
Labor Poster Disclaimer:
While Minimum-Wage.org does our best to keep our list of District of Columbia labor law posters updated and complete, we provide this free resource as-is and cannot be held liable for errors or omissions. If the poster on this page is out-of-date or not working, please send us a message and we will fix it ASAP.