Workers' Compensation Information and Accident Forms

Workers' Compensation Information

• Employee Injury Response and Reporting Checklist (PDF)
• Employee Accident Report (PDF)
• Accident Investigation Form (Fillable PDF)
• DWC-1 Form (PDF)

Directions to Akeso Occupational Health Clinics

Lakewood
5203 Lakewood Blvd., STE B
Lakewood, CA 90712

Huntington Beach
17122 Beach Blvd., #104
Huntington Beach, CA 92647

Irvine
17232 Red Hill Ave.
Irvine, CA 92618

Paramount
7300 Alondra Blvd., Suite 100
Paramount, CA 90723

Accident Form and Reports

• Vehicle Accident Damage Report (PDF)
• Customer/Vendor Accident Form (PDF)
• Customer/Vendor Accident Report (PDF)
• Bloodborne Pathogens Exposure Incident Report (PDF)