| Title |
Last Updated |
| Complaint About A Workers Compensation Administrative Law Judge |
May 30, 2015 |
| Case Initiation Document |
May 30, 2015 |
| Authorization For Representation Non-Attorney (Prevailing Wage Hearings) |
May 30, 2015 |
| Attachment Page |
May 30, 2015 |
| Arbitration Submittal Orders |
May 30, 2015 |
| Arbitration Submittal Form |
May 30, 2015 |
| Arbitration Submittal Form |
May 30, 2015 |
| Application For Independent Medical Review |
May 30, 2015 |
| Application For Adjudication Of Claim (Death Cases) |
May 30, 2015 |
| Application For Accreditation Or Re-Accreditation As Education Provider |
May 30, 2015 |
| Application For Access To WCAB Index Cards And Computer By DWC Staff |
May 30, 2015 |
| AME Or QME Declaration OF Service Of Medical-Legal Report |
May 30, 2015 |
| Agreement Of Assumption And Guarantee Of Workers Compensation Liabilities |
May 30, 2015 |
| Affidavit Of Defendant Re Resolution Of Liens |
May 30, 2015 |
| Additional Panel Request |
May 30, 2015 |
| Request For Eligibility Information |
May 30, 2015 |
| Report Of Voluntary Plan Claim |
May 30, 2015 |
| Notice Of Reduced Earnings |
May 30, 2015 |
| Notice Of Reduced Earnings (Fisherperson) |
May 30, 2015 |
| Guarantee Bond |
May 30, 2015 |
| Authorization For Release Of Unemployment Insurance Records For Retired Annuitant |
May 30, 2015 |
| Apportionment |
May 30, 2015 |
| Application For Trade Adjustment Assistance (TAA) |
May 30, 2015 |
| Annual Income Report For Disability Insurance Elective Coverage |
May 30, 2015 |
| Stipulation With Request For Award (For Injury Prior To 1-1-2013) |
May 30, 2015 |
| Stipulation With Request For Award (Death Cases) |
May 30, 2015 |
| Request For Consultative Rating |
May 30, 2015 |
| Employees Disability Questionnaire |
May 30, 2015 |
| Application For Subsequent Injuries Fund Benefits |
May 30, 2015 |
| Answer To Application For Adjudication Of Claim |
May 30, 2015 |
| Public Works (Initial Report) |
May 30, 2015 |
| Notice To Employee Labor Code Section 2810.5 |
May 30, 2015 |
| Initial Report Or Claim (Report Of Labor La Violation) |
May 30, 2015 |
| Information For Subpoena |
May 30, 2015 |
| DLSE Answer Form |
May 30, 2015 |
| Application For Permission To Employ Minors In The Entertainment Industry |
May 30, 2015 |
| Annual Report Of Inventory For Claims Reported During Calendar Year |
October 1, 2014 |
| Stipulation With Request For Award |
May 23, 2014 |
| Audit Referral Form |
June 24, 2013 |
| Order Dismissing Lien Claim For Failure To Pay Lien Activation Fee |
March 22, 2013 |
| Request For QME Panel Under Labor Code 4062.1 Unrepresented (Attachment) |
February 5, 2013 |
| Request For QME Panel Under Labor Code 4062.1 Unrepresented (Attachment) |
February 5, 2013 |
| Request For QME Panel Under Labor Code 4062.1 Represented (Attachment) |
February 5, 2013 |
| Request For Independent Bill Review |
January 25, 2013 |
| Request For Authorization For Medical Treatment |
January 25, 2013 |
| Notice Of Offer Of Regular Work For Injuries (Between 1-1-04 And 12-31-12) |
January 23, 2013 |
| Subpoena Duces Tecum (Signed By Judge Thomas Clarke) |
January 18, 2013 |
| Subpoena Duces Tecum (Signed By Judge Thomas Clarke) |
January 18, 2013 |
| Subpoena (Signed By Judge Thomas Clarke) |
January 18, 2013 |
| Subpoena (Signed By Judge Thomas Clarke) |
January 18, 2013 |