Image for CHP 555 form

CHP 555 form

The CHP 555 form is used by healthcare providers to report certain workers' compensation claims in California. It helps the Department of Industrial Relations track injuries and illnesses that occur at work. The form includes details about the injured employee, the nature of the injury, the employer, and medical treatment provided. Properly filling out and submitting this form ensures accurate record-keeping and compliance with workers’ compensation laws. It contributes to workplace safety improvements and fair claim processing for injured workers.