Employer's Report of Occupational Injury or Illness (5020)
Legal basis: LC §5401.7
Definition
The form employers must file with their insurance carrier and the DWC within five days of learning of an employee's work-related injury or illness. Also known as Form 5020, it documents basic facts about the injury including date, mechanism, body parts, and initial treatment.
Key Facts About 5020 in 2026
QME Physicians in CA
~2,500
Evaluation Fee Range
$2,500-$4,000
Report Deadline
30 days
Avg AI-Assisted Turnaround
14 days
Related Terms
Frequently Asked Questions
What is a Employer's Report of Occupational Injury or Illness (5020)?
The form employers must file with their insurance carrier and the DWC within five days of learning of an employee's work-related injury or illness. Also known as Form 5020, it documents basic facts about the injury including date, mechanism, body parts, and initial treatment.
What is the legal basis for 5020 in California workers' compensation?
Employer's Report of Occupational Injury or Illness is governed by LC §5401.7 under California workers' compensation law. This statute defines the requirements, procedures, and standards for employer's report of occupational injury or illness in the workers' compensation system as of 2026.
Where can I find the Employer's Report of Occupational Injury or Illness form?
The Employer's Report of Occupational Injury or Illness form is available through the California Division of Workers' Compensation (DWC) website. IMEPro can help physicians complete and manage these forms efficiently with AI-assisted documentation tools.