In case of a worksite accident or injury:
- Inform your supervisor immediately.
- Report your worksite accident or injury using only one of the following options:
Option A. Call the PSWCT Nurse at (833) 928-6877
OR
Option B. Click the red button below to Report a Worksite Accident or Injury. This will take you to an online incident reporting form. Completing this form will create an Accident/Incident Report that will be sent to your supervisor.
Injured workers must select only one method to report a worksite accident or injury.
***NOTE: Do not use both methods, as this will result in a duplicate claim that may delay the process.***
If you were injured during a workplace accident or incident, be sure to select “Yes” when the form asks you if you have sought, or intend to seek, medical care. Doing so will initiate a claim for Workers’ Compensation benefits.
NOTE: To complete the process you must click the COMPLETE INCIDENT button and then confirm you “are ready to complete this incident” by clicking OK to the pop up message. Your data will be lost if you close your browser without performing these final steps.
To save or share this report, please use this link.
Questions? If there is any concern about whether a report has been initiated or any questions regarding your claim, please contact the PSWCT Claims Department at (425) 917-7638.
