Return-to-Work Supplement Program

Employees injured on or after January 1, 2013, who have received a supplemental job displacement benefit voucher (SJDB), may also qualify for an additional one-time $5,000 payment.    

The Return-to-Work Supplement Program (RTWSP) will mail approved applicants a $5,000 check that can be used to supplement the earnings lost from being injured.  



Office Closure Information

All Division of Workers’ Compensation district offices are open, with the following exception:

  • Eureka office closed until further notice

Judges' Conference Lines Updated  July 2, 2020

Alternative filing during COVID-19

  • In light of the continued state of emergency in response to the novel coronavirus (COVID-19) and to facilitate other methods of filing in line with the newslines issued on April 3 and April 28, and pursuant to the WCAB’s en banc order issued on April 6, documents subject to a statutory time limit may be sent by e-mail directly to the district offices pursuant to AD Rule 10205.7(c) where the filing party could not otherwise e-file, JET file or file the document by mail. Refer to the district office page for e-mail and other contact information.

Interrupted Services

  • Refer to the May 28 newsline for detailed information regarding services starting June 8.
  • Disability Evaluation Unit continues to accept consultative and summary rating requests by mail or efiling. Commutation calculation requests can be requested by mail.
  • Open for essential services only:
    • DWC Medical Unit
    • Return-to-Work Supplement Program
    • Uninsured Employers Benefit Trust Fund
    • Legal Unit
    • Subsequent Injuries Benefit Trust Fund

Updated July 7

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 for that injury.
  • Apply by the deadline. RTWSP must receive your application within one year from the date you were mailed the SJDB voucher

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.

You will need the following information to complete the application:

  • The entire SJDB voucher including proof of service (page 6)
    • 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.

Frequently asked questions:

Contact Us:

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

July 2018