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Complete this form (print or type the information). (Request for QME Panel under Labor Code Section 4062.(a) Unrepresented cases. (a) Unrepresented cases. Download Request For QME panel under Labor Code Section 4062. 1 - Unrepresented – California Apprenticeship Council (California) form. Per Labor Code §4062. Either party may request a comprehensive medical evaluation to determine compensability. Per Labor Code § 4062. Per Labor Code § 4062.