Find the optimal insurance for you You will be definitely
safe with us!
We work for you and your business
We have propositions for everybody! Ask professionals
for business insurance!
We have propositions for everybody! Ask professionals
for life advice!

1800 Century Park East
Suite 600
Los Angeles CA 90067
Phone: (310) 791-4880
Toll-free: (800) 521-7445
Email   Directions
More locations
  • Commercial Business Insurance

    The right auto insurance policy can help get you back on the road quickly if your car is damaged or destroyed by accident, fire, theft, or other covered event.
    Get a Quote
  • Workers' Compensation Coverage

    If you own your home, you may not be required to hold home insurance but if you have a mortgage, your lending instruction will most likely require home insurance
    Get a Quote
  • General Liability Coverage

    As an independent insurance agency, we take pride in reviewing your options with multiple insurance companies and comparing protection and prices.
    Get a Quote
  • Commercial Property Coverage

    Protect your family and your future with the right personal, health & life insurance. Planning to keep your family secure - today tomorrow, and down the road?
    Get a Quote

Workers' Compensation Forms

As your agent, we assist you to report claims and stay updated on the claim status.  We want your claims closed as quickly as possible.  Once a claim occurs, it is very important your agent stays involved until closure. 

We maintain routine contact with the claims adjuster to monitor the progress of your the claims and intercede when necessary. 

Scroll down to open bold highlighted topics

FORM - Employer's report of occupational injury or illness

Simplified flow chart for claims process acrobat image Includes Employees Report of Injury

FORM - Doctor's first report of occupational injury or illness

FORM - Notice of employee death

FORM - Notice to employees poster (English and Spanish)

Information for Injured Employee:

Topics covered in this FAQ include:
The basics
Medical care
Navigating the workers comp system
Temporary disability benefits
Permanent disability benefits
Returning to work
Employer responsibilities

_______________________________________________________________________________

Report of suspected medical care provider fraud

Glossary of workers'compensation terms:

Fact sheet B
word image
version acrobat image version

EAMS general public search

new image EAMS and legacy case number lookup tool


arrow image More workers' compensation topics

Reporting suspected medical care provider fraud

Workers' compensation reference materials
Libros de referencia de compensacion de trabajadores

Division of Workers' Compensantion/Workers' Compensation Appeals Board - Policy and Procedural Manual

A Guidebook for Injured Workers, 2006 acrobat image
CompensaciĆ³n del Trabajador de California


Request a Quote

Office Location
1800 Century Park East
Suite 600
Los Angeles CA 90067
Phone: (310) 791-4880
Toll-free: (800) 521-7445
Email  Directions

C A Bridge & Associates Insurance Services
2121 N. California Blvd., Ste. 290
Walnut Creek CA 94596
Phone: (310) 791-4880
Toll-free: (800) 521-7445
Email  Directions