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Keenan & Associates fax number

(310) 212-0333

Workers' Compensation Claims (Keenan & Associates)

Used for: Submitting workers' compensation-related documents to the employer's claims administrator; e.g., Doctor's First Report (DWC-5021), treatment referrals, and medical authorizations.

Fax destination details

Department
Workers' Compensation Claims (Keenan & Associates)
Purpose
Submitting workers' compensation-related documents to the employer's claims administrator; e.g., Doctor's First Report (DWC-5021), treatment referrals, and medical authorizations.
Form
DWC-5021 — Doctor's First Report of Occupational Injury or Illness (DWC-5021)
Address
2355 Crenshaw Blvd, Suite 200, Torrance, CA 90501
Voice phone
310-212-3344

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Submit the DWC-5021 to the claims administrator (Keenan & Associates) within five working days of the initial examination, and send the original completed DWC-5021 along with related medical bills and reports to Keenan at 2355 Crenshaw Blvd, Suite 200, Torrance, CA 90501.

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