1. (a) the appropriate claim and employer's report of injury/illness forms as prescribed by the State Compensation Insurance Fund;
2. (b) a written narrative account of the incident that may include witness statements; and,
3. (c) a copy of the claimant's current disaster service worker volunteer registration form indicating the loyalty oath or affirmation was administered.

4. (d) If injury due to a training activity, the claim shall also include:

   1. (1) a copy of a training document verifying the disaster service worker volunteer's participation, and
   2. (2) a copy of the written pre-authorization of the training activity by the accredited disaster council or its designee.

Claim Packages. Workers' compensation claims for injuries/illnesses sustained by disaster service worker volunteers while performing disaster service, shall be filed under the same authorities and guidelines as claims filed by paid employees. The claim shall include:

Note: Authority cited: Sections 8567 and 8585.5, Government Code. Reference: Section 3211.92 and 5400 et seq., Labor Code; and Section 3102, Government Code.

History

1. New section filed 2-8-99; operative 12-15-98. Submitted to OAL for printing only pursuant to Government Code section 8567(d) (Register 99, No. 7).

2. Change without regulatory effect amending section heading and subsection (a) filed 5-12-2010 pursuant to section 100, title 1, California Code of Regulations (Register 2010, No. 20).

3. Amendment of section and Note filed 12-17-2012; operative 12-17-2012. Submitted to OAL for filing and printing only pursuant to Government Code section 8567(d) (Register 2012, No. 51).