COVID-19 resources

California Employer Reporting Form

Important Notice:

On 9/17/2020 California enacted SB-1159 which imposes certain reporting requirements on California employers. Effective immediately, employers are required to report positive COVID-19 tests to their workers compensation claim administrator, whether there is an allegation the COVID-19 exposure is related to work or not. According to the legislation, an employer who intentionally submits false or misleading information, or fails to submit information when reporting, could be subject to a civil penalty in the amount of up to $10,000, to be assessed by the Labor Commissioner. Additional information can be found here.

Does this law apply to my business?

This new law requires all employers who have 5 or more employees report to their Workers’ Compensation administrator certain information once an employee tests positive for COVID-19. Even If the employer believes the employee’s positive test was not a result of work exposure, it must still be reported to the Workers’ Compensation Claims Administrator.

This new law does NOT apply to the following employees:

Reporting obligations

Once the employer ‘knows or reasonably should know’ that an employee has tested positive for COVID-19, the employer must do all of the following:


The due date for reporting of exposures between 7/6/2020 through 9/16/2020 is October 29, 2020


COVID-19 Employer Reporting Form for Outbreak Determination




Has or will a workers’ compensation claim be filed as a result of this COVID-19 exposure?

Date exposed

Date tested
Date employer notified

Have any of the locations the employee has worked in been ordered closed by a local heath department, the State Department of Public Health, the Division of Occupational Safety & Health, a school superintendent, etc. due to the risk of infection by COVID-19?

(If yes, enter date closed:)

Primary location

Secondary locations

Location 1
Location 2
Location 3
Location 4



Other resources

Method’s COVID-19 resource guide