Select Additional Claims Option Here:

MPN Employee Notice

Medical Care Information

Important Medical Care Information if you have a Work-Related Injury or Illness

Select MPN Employee Notice

Find an MPN Doctor

Access our Preferred Medical Provider Network

24/7 access to help your locate a medical provider that is convenient to your home or work place of the injured employee
Access a wide variety of helpful customer services designed specifically for you

Select Find a Doctor

Print DWC-1 Form

Workers’ Compensation Claim Form (DWC-1)

Print your worker’ Compensation Claim Form PDF
English & Spanish Versions of DWC-1 Form included
Includes Notice of Potential Eligibility

ca-seal pdf-download

Select Print DWC-1

Submit/Print Your Wage Statement Here:

Submit Wage Statement

Medical Care Information

Important Medical Care Information if you have a Work-Related Injury or Illness

Submit Wage Statement

Print Wage Statement

Access our Preferred Medical Provider Network

24/7 access to help your locate a medical provider that is convenient to your home or work place of the injured employee
Access a wide variety of helpful customer services designed specifically for you

Print Wage Statement

CAL/OSHA Website & Form Here:

CAL/OHSA Website

Medical Care Information

Important Medical Care Information if you have a Work-Related Injury or Illness

CAL/OSHA Website

CAL/OHSA Form 300

Access our Preferred Medical Provider Network

24/7 access to help your locate a medical provider that is convenient to your home or work place of the injured employee
Access a wide variety of helpful customer services designed specifically for you

CAL/OSHA Form 300

Print DWC-7 Form

DWC-7 Notice to Employees – Injuries Caused by Work

Print your Form PDF
English & Spanish Versions

DWC-7 Form

Alternative Reporting Options:

Claims can also be Reported to Preferred Employers Group by:

Phone: (888) 472-9001
Fax: (619) 688-3913
Mail: P.O. Box 85838, San Diego, CA 92186-5838
Email: firstreport@peiwc.com

Preferred Employers Group began operations in San Diego, California in 1998. The company provides workers’ compensation insurance for a wide variety of industries. Our goal is to provide our customers with a stable and reliable workers’ compensation insurance product regardless of market cycles. We are dedicated to being the preferred workers’ compensation insurance solution for California businesses.