April 15, 2025 | Oakland, CA — MedLegalNews.com — The California Division of Workers’ Compensation (DWC) has issued a fresh reminder about the Return-to-Work Supplement Program (RTWSP) application requirements. This notice comes as part of ongoing efforts to ensure injured workers receive timely and accurate benefits.
Application Requirements Under California Code
As outlined in California Code of Regulations, Title 8, Section 17306, applicants must complete the electronic RTWSP form available on the Department of Industrial Relations website. The application must include a declaration under penalty of perjury, affirming the truthfulness of all information submitted.
Applicants are required to provide:
- Full legal name (first, last, and middle)
- Social Security number or tax ID number
- Current address, phone number, and email (if available)
- ADJ number(s) related to any workers’ compensation claims
- A .pdf or .tiff version of the Supplemental Job Displacement Benefit (SJDB) Voucher
Moreover, applicants must state whether they are residents or non-residents of California.
Common Mistakes Can Lead to Denials
Importantly, DWC warns that any incomplete or inaccurate submissions will be denied. Many applicants face setbacks due to minor oversights, such as missing documents or inconsistent contact information. To avoid these pitfalls, the DWC recommends several best practices:
Best Practices for Successful Submission
- Triple-check all information before submission
- Submit only one application per claim
- Attach all required documentation, including the SJDB Voucher
- Ensure all personal information matches across the application and attached documents
Additionally, workers should retain confirmation of submission for their records.
What This Means for Injured Workers
This reminder is particularly timely for injured workers seeking to claim the $5,000 RTWSP benefit, which is designed to help those facing barriers to re-employment after a workplace injury. Ensuring compliance with the regulations helps avoid unnecessary delays and denials that could impact recovery and financial stability.
For guidance on SJDB Vouchers or related legal matters, visit our Workers’ Compensation section.
Apply here: RTWSP Application – Department of Industrial Relations
For official program details and filing instructions, visit the Department of Industrial Relations RTWSP portal.
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FAQS: RTWSP Application Requirements
What are the current RTWSP application requirements?
The RTWSP application requirements include completing the electronic form, attaching an SJDB Voucher, and submitting accurate personal and claim details to the DWC.
Why were the RTWSP application requirements updated?
The DWC clarified RTWSP application requirements to reduce errors and delays that often occur due to incomplete forms or missing documentation.
Who qualifies under the RTWSP application requirements?
Injured workers with an eligible Supplemental Job Displacement Benefit (SJDB) Voucher may apply under the RTWSP application requirements to receive a $5,000 return-to-work supplement.
What happens if I don’t meet the RTWSP application requirements?
Failure to comply with the RTWSP application requirements — such as missing attachments or incorrect data — can result in delays or outright denials of the $5,000 benefit.