Disaster Service Worker Volunteer Program

Administrative Services

​​The Disaster Service Worker Volunteer Program (DSWVP) was created as the result of legislation to provide workers’ compensation benefits to registered Disaster Service Worker (DSW) volunteers who are injured while participating in authorized disaster-related activities, including pre-approved training. Disaster service, as defined for the Program, is designed to aid in the response and recovery phases in a disaster or emergency. It does not include the day-to-day emergency response activities typically associated with, for example, law enforcement, fire services or emergency medical services. The Program also provides limited immunity from liability.

 

 

1. Title 19 DSW Regulations.12.17.2012https://www.caloes.ca.gov/AdministrativeServicesSite/Documents/1. Title 19 DSW Regulations.12.17.2012.pdf1. Title 19 DSW Regulations.12.17.2012DSW Program Documents:6/17/2019 3:04:02 PM
2. DSW Program GUIDANCE 10.2016https://www.caloes.ca.gov/AdministrativeServicesSite/Documents/2. DSW Program GUIDANCE 10.2016.pdf2. DSW Program GUIDANCE 10.2016Includes procedures, lists of eligible and ineligible activities, examples, and much more to provide better user tools to comply with the Program.DSW Program Documents:6/17/2019 3:04:03 PM
3.a DSW Vol Registration.Minor.Consent.Self Cert Oathhttps://www.caloes.ca.gov/AdministrativeServicesSite/Documents/3.a DSW Volunteer Registration English.docx3.a DSW Vol Registration.Minor.Consent.Self Cert Oath*NEW* Includes minor consent AND both officer administered and self-certification oath options.DSW Program Documents:3/18/2022 5:25:52 PM
3.b DSW Vol Registration.Minor.Consent.Self Cert Oath Spanishhttps://www.caloes.ca.gov/AdministrativeServicesSite/Documents/3.b DSW Volunteer Registration Spanish.docx3.b DSW Vol Registration.Minor.Consent.Self Cert Oath Spanish*NEW* Includes minor consent AND both officer administered and self-certification oath options.DSW Program Documents:3/18/2022 5:25:57 PM
4. DSW Frequently Asked Questions 10.2016https://www.caloes.ca.gov/AdministrativeServicesSite/Documents/4. DSW Frequently Asked Questions 10.2016.pdf4. DSW Frequently Asked Questions 10.2016DSW Program Documents:6/17/2019 3:04:05 PM
1. DSW Guide to Workers Compensation 2012https://www.caloes.ca.gov/AdministrativeServicesSite/Documents/DSW Guide to Workers Compensation 2012.pdf1. DSW Guide to Workers Compensation 2012DSW Worker's Compensation Information:11/2/2018 7:13:58 PM
2. DSWVP WC Claim Submission Instructions 2.2019https://www.caloes.ca.gov/AdministrativeServicesSite/Documents/DSWVP WC Claim Submission Instructions 2.2019.pdf2. DSWVP WC Claim Submission Instructions 2.2019DSW Worker's Compensation Information:2/21/2019 5:49:47 PM
3. State Fund e3267 Employer's Report of Occupational Injury or Illness Rev.11-13.pdfhttps://www.caloes.ca.gov/AdministrativeServicesSite/Documents/State Fund e3267 Employer's Report of Occupational Injury or Illness Rev.11-13.pdf3. State Fund e3267 Employer's Report of Occupational Injury or Illness Rev.11-13.pdfDSW Worker's Compensation Information:11/2/2018 7:14:34 PM
4. State Fund e3301 Workers' Compensation Claim Form Rev 6.18https://www.caloes.ca.gov/AdministrativeServicesSite/Documents/State Fund e3301 Workers' Compensation Claim Form Rev 6.18.pdf4. State Fund e3301 Workers' Compensation Claim Form Rev 6.18DSW Worker's Compensation Information:6/17/2019 3:04:08 PM

​​​Contact Information

Cal OES

3650 Schriever Avenue
Mather, CA 95655

Don Glueckert

Program Lead
Desk: (916) 845-8328
Fax: (916) 845-8394
donald.glueckert@caloes.ca.gov

Hilda Vargas

Program Manager
Desk: (916) 845-8661
Fax: (916) 845-8394
hilda.vargas@caloes.ca.gov

 

State Compensation Insurance Fund

Brian Curtiss

Specialized Claims Operations
PO Box 65005
Fresno, CA 93650-5005
Desk: (951) 697-6360
Fax: (707) 646-0594
bdcurtiss@scif.com

 

Safety Assessment Program (SAP) Questions:

Shirley Jake

SAP Statewide Coordinator
Desk: (916) 328-7617
Fax: (916) 694-7146
sap@caloes.ca.gov

 

 

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