Return-to-Work Supplement Program

System Maintenance Notice

Due to system updates, the Return-to-Work Supplement Program (RTWSP) online application system will be intermittently offline from 8:30 p.m. Pacific Time on Friday, May 23, 2025 to 1:00 a.m. Pacific Time on Saturday, May 24, 2025. When visiting the website, if the system is unavailable, please try again later.

Employees injured on or after January 1, 2013, who have received a supplemental job displacement benefit voucher (SJDB) furnished by a claims administrator (insurance company) to an injured worker pursuant to section 10133.31, may also qualify for an additional one-time $5,000 payment by completing the online application.    

All completed and timely filed applications will be reviewed and a decision will be made on whether the individual is entitled to the supplement within 60 days of the receipt of the completed application. The $5,000 payment will be made within 25 days of the eligibility decision.

Click Here to Apply Online

Instructions for completing online application:

English -  Español -  Chinese -  Korean -  Tagalog -  Vietnamese

Eligibility for RTWSP payment:

  • Date of injury must be on or after January 1, 2013.
  • Applicant must have received a SJDB voucher furnished by a claims administrator.
  • Apply by the deadline. RTWSP must receive application within one year from the date the SJDB voucher was served to the injured worker.

How to apply:

The application for the one-time $5,000 payment is available online. If you do not have access to the internet, every DWC district office has a kiosk equipped with a computer, scanner, and printer for your use. Information and Assistance Officers are available in person and over the phone at 1-800-736-7401.

You will need the following information to complete the application:

  • The entire SJDB voucher including proof of service (page 6) furnished by a claims administrator (insurance company).
    • SJDB voucher in .pdf or .tiff format for uploading and attaching to online application
  • Adjudication (ADJ) number
  • Workers’ Compensation claim number
    • Claim numbers are issued by the claims administrator when an injury claim form is filed.
  • Supplemental Job Displacement Benefit (SJDB) Proof of Service Date
    • Date SJDB voucher served to injured worker (page 6 of 6)

Frequently asked questions:

Contact Us:

Please e-mail questions or comments regarding Return-to-Work Supplement Program at: RTWSP@dir.ca.gov or (510) 286-0787.

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April 2025