Request For Public Records

DWC REQUEST FOR PUBLIC RECORDS OR DATA. Use this form to request records or data maintained by the Division of Workers’ Compensation (DWC). If you are requesting DWC data or records in a workers’ compensation case file, please submit your request to the DWC district office on this list (https://www.dir.ca.gov/DWC/PublicRecordsAct/PRA_coordinators.html) that is closest to you. If you are requesting DWC data or records not in a workers’ compensation case file, please submit your completed request to DWC_PRA@dir.ca.gov. DWC's Routine Exemptions from Disclosure. When it responds to a Public Records Act request (Gov. Code, § 7922.000 et seq.) for data or records in a workers' compensation case file, DWC (a) withholds all records or data that have been sealed (Cal. Code Regs., tit. 8, § 10813); and (b) redacts this information from data or records: Social Security or other taxpayer identification number (42 U.S.C. § 405(c)(2)(C)(viii)(I)); driver's license number (Veh. Code, § 1810); residential address (Lab. Code, § 138.7); health insurance policy, financial account, and insurance claim numbers; dates of birth; minor's name; and individual's personal contact information (Gov. Code, § 7927.700). www.FormsWorkflow.com