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California Forms

372 State Forms found

name	number	revision	print or send online
Information & Assistance Unit guide 17 - How to complete a document cover sheet	I&A 17	Rev. 06/18
Information & Assistance Unit guide 18 -How to complete a document separator sheet - Packet	I&A 18	Rev. 06/18
Information & Assistance Unit Guide 19 - How to file a petition appealing administrative director’s independent medical review determination - Packet	I&A 19	Rev. 06/18
Information & Assistance Unit guide 20 - How to file a petition for change of venue	I&A 20	Rev. 06/18
Information & Assistance Unit guide 21 - How to file a petition for penalties - Packet	I&A 21	Rev. 06/18
VERIFICATION - Petition Appealing Administrative Director's IMR Determination	No Form Number	no date
INFORMATION ABOUT WORKERS’ COMPENSATION FRAUD - Workers’ Compensation Fraud Warning Notice 2018	No Form Number	no date
Newsline - Division of Workers’ Compensation Announces 2019 Profile Audit Review and Full Compliance Audit Performance	Newsline No.: 2018-96	November 19, 2018
2019 Annual Report of Inventory for Claims Reported During Calendar Year (CY) 2018	Form DWC-851	(Rev. 1-2019)
2019 ANNUAL REPORT OF ADJUSTING LOCATIONS	Form DWC-857	Rev. 1/2019
Medical Provider Networks Approved by DWC (Sorted by Date of Approval)	No Form Number	as of 01/02/2020
Medical Provider Networks Approved by DWC (Sorted by Name of Applicant)	No Form Number	as of 01/02/2020
Tips for a smoother IMR process	No Form Number	no date
Utilization Review and Independent Medical Review Regulations	8 C.C.R. §§ 9785, 9785.1, 9792.6 – 9792.10.5	(Approved 02/12/2014)
Checklist for Successful Represented QME Panel Request	No Form Number	no date

Disclaimer: These forms may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.

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