All California Workers Compensation forms

Workers Compensation - Arbitration

• Arbitration Submittal Orders for Workers' Compensation CA-WCAB-32-WC

Workers Compensation - Audit Referrals

• Audit Referral Form for Workers' Compensation CA-AU-906-WC

Workers Compensation - Awards

• Stipulations for Award for Workers' Compensation CA-50-WC

Workers Compensation - Claims

• Checklists - Worker's Compensation Claims US-04076BG

Workers Compensation - Discovery

• Requests for Production of Documents to Carrier US-01367
• Claimant's First Set of Requests for Production US-01366
• Claimant's First Set of Interrogatories to Employer and Carrier US-01365

Workers Compensation - Evaluations

• Apportionment Evaluation for Workers' Compensation CA-DEU105-WC
• Request for Qualified Medical Evaluator for Workers' Compensation CA-106-WC

Workers Compensation - Injury and Claims

• Notice of Work-Related Injury and Claim for Worker's Compensation US-01495BG

Workers Compensation - Injury Reports

• Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State US-01494BG

Workers Compensation - Insurance

• Agreement of Employee Service Provider to Maintain Workers Compensation Insurance US-01625BG

Workers Compensation - Liens

• Allowance of Lien for Workers' Compensation CA-WCAB6-WC

Workers Compensation - Official - Adjudication

• Application for Adjudication for Workers' Compensation CA-WCAB-01-WC

Workers Compensation - Official - Attorneys

• Substitution of Attorney for Workers' Compensation CA-36-WC

Workers Compensation - Official - Claims

• Employee's Claim for Worker's Compensation Benefits for Workers' Compensation CA-DWC-01-WC

Workers Compensation - Official - Commutation

• Petition for Commutation of Future Payments for Workers' Compensation CA-49-WC

Workers Compensation - Official - Death Claims

• Stipulation for Award Death for Workers' Compensation CA-48-WC
• Application for Adjudication Death for Workers' Compensation CA-DIA-02-WC

Workers Compensation - Official - Declarations

• Declaration of Readiness to Proceed for Workers' Compensation CA-09-WC
• Declaration of Readiness to Proceed to Expedited Hearing (Trial) for Workers' Compensation CA-DWC-04-WC

Workers Compensation - Official - Dependency

• Compromise and Release (Dependency Claim) for Workers' Compensation CA-WCAB-16-WC

Workers Compensation - Official - Disclosures

• Fee Disclosure Statement for Workers' Compensation CA-DWC-03-WC

Workers Compensation - Official - Discrimination Benefits

• Application for Discrimination Benefits for Workers' Compensation CA-WCAB-04-WC

Workers Compensation - Official - Employers

• Employers First Report for Workers' Compensation CA-5020-WC
• Application for Benefits Misconduct of Employer for Workers' Compensation CA-WCAB-05-WC

Workers Compensation - Official - Employment Duties

• Description of Employee's Job Duties for Workers' Compensation CA-RU91-WC

Workers Compensation - Official - Evaluations

• Apportionment Evaluation for Workers' Compensation CA-DEU-105-WC

Workers Compensation - Official - Guardians Ad Litem

• Petition for Appointment of Guardian ad Litem and Trustee for Workers' Compensation CA-08-WC

Workers Compensation - Official - Hearings

• Minutes of Hearing - Order for Workers' Compensation CA-MTOC-WC

Workers Compensation - Official - Liens

• Notice and Request for Allowance of Lien for Workers' Compensation CA-06-WC

Workers Compensation - Official - Notices

• Notice of Office Work for Workers' Compensation CA-RU94-WC

Workers Compensation - Official - Permanent Disability

• Employee's Permanent Disability Questionnaire for Workers' Compensation CA-DEU-100-WC

Workers Compensation - Official - Physicians

• Petition for Change of Physician for Workers' Compensation CA-DEU-280-WC
• Primary Physician's Permanent Report for Workers' Compensation CA-PR-3-WC
• Primary Physician's Progress Report for Workers' Compensation CA-PR-2-WC
• Petition for Change of Physician for Workers' Compensation CA-DWC280-WC
• Petition For Change Of Primary Treating Physician CA-DWC-280-WC

Workers Compensation - Official - Pretrial

• Pretrial Conference Statement for Workers' Compensation CA-10-WC

Workers Compensation - Official - Ratings

• Request for Reconsideration of Summary Rating by the Administrative Director for Workers' Compensation CA-DEU-103-WC
• Request for Summary Rating for Workers' Compensation CA-DEU-102-WC
• Request for Summary Rating Determination for Workers' Compensation CA-DEU-101-WC
• Request for Reconsideration of Summary Rating by the Administrative Director for Workers' Compensation CA-103-WC

Workers Compensation - Official - Reconsideration

• Petition for Reconsideration for Workers' Compensation CA-45-WC

Workers Compensation - Official - Releases

• Third Party Compromise and Release for Workers' Compensation CA-17-WC
• Compromise and Release for Workers' Compensation CA-15-WC

Workers Compensation - Official - Reopen

• Petition to Reopen for Workers' Compensation CA-42-WC

Workers Compensation - Official - Service of Process

• Proof of Service by Mail for Workers' Compensation CA-07-WC

Workers Compensation - Official - Verifications

• Verification for Workers' Compensation CA-01-WC

Workers Compensation - Official - Willful Misconduct

• Application for Benefits for Serious and Willful Misconduct of Employer for Workers' Compensation CA-05-WC