Wesley Grant — workers' comp claim
Client Admin ▸ Safety ▸ Claims ▸ Case 1 · 2026 · Amarillo Yard
Linked incident — owned by the injury case and shown here read-only — corrections are made on the case
Sprained ankle stepping off a trailer
Policy period — workers' comp is grouped by policy term, not calendar year
The term is chosen by the case’s date of injury (2026-05-19) — not by when the claim was reported, and not by the calendar year its case sits on in the 300 Log. Those come from the same injury date but answer different questions.
Follows the case's date of injury, and re-files itself if a policy term changes.
Policy periods ▸ · experience modification is calculated per term, so this grouping is what future e-mod tracking will hang off.
DWC-1 claim form — California · California Labor Code §§ 5401–5402 · dates are stamped as they happen
Next: Send it to the employee
- Give the employee the claim formOverdue41 working days elapsed, target 1
- Employee returns the completed formnot startedinternal target
- Forward a dated copy to the carrier and the employeenot started
This workflow records dates and surfaces the duties that attach to them. It does not decide, accept or deny a claim, does not authorise treatment, and does not file anything on your behalf. It is not legal advice — confirm your obligations with counsel or your claims administrator.
Claim details — any safety administrator can edit this — changes are recorded with their previous values
Blank means not known yet — it is not the same as zero. A claim is closed or denied, never deleted.
Notes & updates — 2 entries · newest first · append-only
- EHM admin17 Sep 2026 · 20:47 UTC
This is Test #2
- EHM admin17 Sep 2026 · 20:44 UTC
This is a Test #1
Entries are append-only — they cannot be edited or deleted, by anyone. To correct one, add a note saying what was wrong.