Labor Code §3700 permits workers' compensation coverage to be offered in one of two forms. No. ERISA and workers' compensation are actually very distinct.Fill out and sign the "employee" portion of the form. Describe your injury completely. Attorney Richard Irwin has been a Workers' Compensation Specialist in Riverside since 1995, call and schedule a free consultation now. This means: The County of Riverside's workers' compensation benefits are directly paid out of the County's budgets rather than an insurance carrier. If you need to file a workers' comp claim in San Bernardino or Riverside California, speak to a Certified Work Comp Specialist today. File a Claim: Fill out Form DWC-1 and submit it to the Florida Division of Workers' Compensation. 4.