Disaster Service Worker Volunteer Program

Planning & Preparedness
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​​The Disaster Service Worker Volunteer Program (DSWVP) was created as the result of legislation to provide workers’ compensation benefits to registered Disaster Service Worker (DSW) volunteers who are injured while participating in authorized disaster-related activities, including pre-approved training. Disaster service, as defined for the Program, is designed to aid in the response and recovery phases in a disaster or emergency. It does not include the day-to-day emergency response activities typically associated with, for example, law enforcement, fire services or emergency medical services. The Program also provides limited immunity from liability.

 

 

1. Title 19 DSW Regulations.12.17.2012http://www.caloes.ca.gov/PlanningPreparednessSite/Documents/1. Title 19 DSW Regulations.12.17.2012.pdf1. Title 19 DSW Regulations.12.17.2012DSW Program Documents:4/3/2015 4:38:22 PM
2. DSW Program GUIDANCE 10.2016http://www.caloes.ca.gov/PlanningPreparednessSite/Documents/2. DSW Program GUIDANCE 10.2016.pdf2. DSW Program GUIDANCE 10.2016*New* Includes procedures, lists of eligible and ineligible activities, examples, and much more to provide better user tools to comply with the Program.DSW Program Documents:10/31/2016 10:24:24 PM
3. DSW Vol Registration.Minor.Consent.Self Cert Oath.8.2016http://www.caloes.ca.gov/PlanningPreparednessSite/Documents/3. DSW Vol Registration.Minor.Consent.Self Cert Oath. 8.2016.docx3. DSW Vol Registration.Minor.Consent.Self Cert Oath.8.2016*NEW* Includes minor consent AND both officer administered and self-certification oath options.DSW Program Documents:10/31/2016 10:23:25 PM
4. DSW Frequently Asked Questions 10.2016http://www.caloes.ca.gov/PlanningPreparednessSite/Documents/4. DSW Frequently Asked Questions 10.2016.pdf4. DSW Frequently Asked Questions 10.2016*NEW*DSW Program Documents:10/31/2016 10:23:10 PM
1. DSW Guide to Workers Compensation 2012http://www.caloes.ca.gov/PlanningPreparednessSite/Documents/DSW Guide to Workers Compensation 2012.pdf1. DSW Guide to Workers Compensation 2012DSW Worker's Compensation Information:4/2/2015 3:28:59 PM
2. DSWVP WC Claim Submission Instruction Rev.3.2015http://www.caloes.ca.gov/PlanningPreparednessSite/Documents/DSWVP WC Claim Submission Instruction REV 3 2015.pdf2. DSWVP WC Claim Submission Instruction Rev.3.2015DSW Worker's Compensation Information:4/2/2015 3:42:13 PM
3. State Fund e3267 Employer's Report of Occupational Injury or Illness Rev.11-13.pdfhttp://www.caloes.ca.gov/PlanningPreparednessSite/Documents/State Fund e3267 Employer's Report of Occupational Injury or Illness Rev.11-13.pdf3. State Fund e3267 Employer's Report of Occupational Injury or Illness Rev.11-13.pdfDSW Worker's Compensation Information:6/1/2015 5:52:20 PM
4. State Fund e3301 Workers' compensation Claim Form Rev.1.12http://www.caloes.ca.gov/PlanningPreparednessSite/Documents/State Fund e3301 Workers'Compensation Claim Form Rev 01 12.pdf4. State Fund e3301 Workers' compensation Claim Form Rev.1.12DSW Worker's Compensation Information:4/2/2015 3:42:49 PM

​​​Contact Information

Cal OES

3650 Schriever Avenue
Mather, CA 95655

Anita Chant

Program Lead
Desk: (916) 845-8763
Fax: (916) 845-8736
anita.chant@caloes.ca.gov

Kathryn Chin

Claims Lead
Desk: (916) 845-8787
Fax: (916) 845-8736
kathryn.chin@caloes.ca.gov

 

State Compensation Insurance Fund

Angie Trujillo

Specialized Claims Operations
PO Box 65005
Fresno, CA 93650-5005
Desk: (951) 697-6341
Fax: (707) 646-0173
atrujillo@scif.com 

 

Safety Assessment Program (SAP) Questions:

Judith Fredericks

Statewide SAP Coordinator
Desk: (916) 845-8148
Fax: (916) 845-8385
judith.fredericks@caloes.ca.gov

 

 

 

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