Forms
Below you will find various forms that may be relevant to your workers’ compensation claim.
- Affidavit to Obtain Duplicate of Lost or Destroyed Warrant
City of San Diego Medical Status Form (RM-1634)
- Medical Mileage Form
Medical Release Form- General Release
Medical Release Form – Kaiser Release
Medical Release Form – Veterans Affairs Release
- Minor Injury Report
- Pre-Designation of Personal Physician Form
- Request for Unclaimed Monies Form
- Workers' Compensation Claim Form (DWC1)