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Can an employer report California occupational injuries to the claims administrator using a form other than the Employer’s Report of Occupational Injury or Illness (Form 5020)?

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Can an employer report California occupational injuries to the claims administrator using a form other than the Employer’s Report of Occupational Injury or Illness (Form 5020)?

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A9. No. Labor Code section 6409.1(a) and Title 8, C.C.R. section 14001(a) provide that every employer shall report injuries which result in loss of time beyond the date of injury or which require medical treatment beyond first aid on the Form 5020. Individual claims administrators can add additional data elements to the Form 5020, consistent with Title 8, C.C.R. section 14005, as needed to facilitate EDI reporting.

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