In case of a worksite accident or injury, inform your supervisor immediately. Then, call the PSWCT Nurse at (833)-WCTNURS [(833) 928-6877] or 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.
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? Call us at (425) 917-7638 or send an email to [email protected].
