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California Forms

58 State Forms found

name	number	revision	print or send online
APPLICATION FOR ADJUDICATION OF CLAIM	DWC/WCAB Form 1A	5/2020
PETITION FOR BENEFITS FOR SERIOUS AND WILLFULL MISCONDUCT OF EMPLOYER PURSUANT TO LABOR CODE SECTION 4553	No Form Number	no date
PETITION FOR DISCRIMINATION BENEFITS PURSUANT TO LABOR CODE SECTION 132a	No Form Number	Undated Form
COMPROMISE AND RELEASE (Dependency claim)	DWC-CA form 10214 (d)	REV. 11/2008
DECLARATION OF READINESS TO PROCEED	DWC-CA form 10250.1	Rev. 6/2011
DOCUMENT COVER SHEET	DWC-CA form 10232.1	Rev. 5/2020
DOCUMENT SEPARATOR SHEET	DWC-CA form 10232.2	Rev. 11/2017
EDEX CLIENT LIST - EDI	EDEX Client List	Rev. 6/2006
EDEX SUBSCRIBER APPLICATION - EDI	DWC EDEX subscriber agreement	Rev. 6/2006
Medical mileage expense form - for mileage on or after 1/1/10	I&A Mileage Form	Rev. 04/13
Medical mileage expense form - for mileage on or after 07-01-11 to 12-31-12	I&A Mileage Form	Rev. 04/13
Notice of Dismissal of Attorney	DWC/WCAB FORM 37	REV. 8-75
Petition for Reconsideration	DWC/WCAB Form 45	Rev 4-14
Proof of Service by Mail	No Form Number	Undated Form
REQUEST FOR AUTHORIZATION - Request for Authorization Number Form	DWC Form RFA (9785.5)	Effective 2/2014

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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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