Get paid back for driving to your doctor.

If you have a California workers' comp claim, the insurance company owes you money for every mile you drive for your medical care. That includes doctor visits, physical therapy, the pharmacy, and special exams. Right now the rate is 76 cents a mile, plus parking and tolls. Most injured workers never claim any of it. The state forms are confusing and hard to find.

This free tool does the hard part. It asks you questions about where you have been for care, estimates the miles, and fills out the official state form to properly claim your mileage. You check it and sign it on your phone.

Start — it's free

How it works

  1. Answer questions about where you have gone for care
  2. We estimate the miles and the money for you
  3. Review and sign the official DWC form on your phone
  4. Download it, email it to yourself, or have us print and mail it to the insurance company

The tool is free. If you choose the mail option, you pay only what the printing and mailing service charges.

This is a free drafting tool, not legal advice. It prepares forms from the information you give it, and you review and sign them yourself. Using it does not make us your attorneys.