Gregory B. Bragg & Associates, Inc.
1-800-GB-BRAGG
Forms

Acknowledgement of Receipt of Claim Form
This is not a state-required form, but has been developed as some employers find it useful to document when an employee is given a claim form.

DWC 1 and NOPE
This is the Employee's Claims for Workers' Compensation Benefits. The NOPE cover sheet takes the place of the Facts for Injured Workers' Pamphlet.

Facts About Workers' Compensation Pamphlet
The State of California requires employers give this pamphlet to all new hires.

Frequently Asked Questions (FAQs)
This form was developed by Bragg to answer some of the most common questions. We hope you find it helpful.

Form 5020
This is the Employer's Report of Injury. You may also file it electronically through the Bragg website.

Supervisor's Report
This is not a State required form, but employers that do not already have their own internal form have found it useful.