Preferred Employers Insurance

Select Additional Claims Option Here:

MPN Employee Notice

Medical Care Information

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

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

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

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

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

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/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

Print DWC-7 Form

DWC-7 Notice to Employees – Injuries Caused by Work

  • Print your Form PDF
  • English & Spanish Versions

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