California Workers Comp Mileage Form 2024. An injured worker is entitled to reimbursement of reasonable expenses of transportation if they have to travel to get treatment for a work injury. Use this form to claim your mileage or travel reimbursement by sending a completed copy to your claim examiner.

Injured workers who travel for related medical treatment will be reimbursed next year at a rate of 67 cents per mile, an increase from 65.5 cents per mile in 2023, according to. Commission on health and safety and workers’ compensation (chswc).