ZZ Broker Alert Test (delete me) — workers' comp claim
Client Admin ▸ Safety ▸ Claims ▸ Case 6 · 2026 · Amarillo Yard
Linked incident — owned by the injury case and shown here read-only — corrections are made on the case
Twisted right ankle on a loading ramp
Policy period — workers' comp is grouped by policy term, not calendar year
The term is chosen by the case’s date of injury (2026-09-15) — 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: Nothing outstanding here — the carrier's 90-day decision runs next
- Give the employee the claim formDone 2026-09-18
- Employee returns the completed formDone 2026-09-18internal target
- Forward a dated copy to the carrier and the employeeDone 2026-09-18
90-day presumption: day 50 of 90, counting from 2026-09-18 — the date the employer received the completed form. 40 days remain (to 2026-12-17). The carrier decides; this only counts the days. California Labor Code §§ 5401–5402.
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 — no entries yet
Nothing recorded yet. Notes are how this claim’s history gets written — a call with the adjuster, a reserve revision, a return-to-work date.
Entries are append-only — they cannot be edited or deleted, by anyone. To correct one, add a note saying what was wrong.