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Division of Workers' Compensation (DWC)

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Division of Workers' Compensation (DWC)

Claim form regulations

Title 8. Division of Workers Compensation
Title 8 CCR 9810 et seq
Effective August 1, 2004

Final Text of Regulations doc Adobe Acrobat symbol pdf
Notice of potential eligibility doc Adobe Acrobat symbol pdf
Claim form Adobe Acrobat symbol pdf
Repealed claim form Adobe Acrobat symbol pdf
Notice to employees poster doc Adobe Acrobat symbol pdf
Second amended final statement of reasons doc Adobe Acrobat symbol pdf
3rd 15 day comment period - May 20, 2004
Third 15-day notice of proposed changes doc Adobe Acrobat symbol pdf
Notice to employees poster section doc Adobe Acrobat symbol pdf
Poster doc Adobe Acrobat symbol pdf
Notice of potential eligibility section doc Adobe Acrobat symbol pdf
Notice of potential eligibility doc Adobe Acrobat symbol pdf Claim form Adobe Acrobat symbol pdf

2nd 15 day comment period - May 12, 2004
Second 15-day notice of proposed changes doc Adobe Acrobat symbol pdf
Notice to employees poster section doc Adobe Acrobat symbol pdf Poster doc Adobe Acrobat symbol pdf
Notice of potential eligibility section doc Adobe Acrobat symbol pdf
Notice of potential eligibility doc Adobe Acrobat symbol pdf
Claim form Adobe Acrobat symbol pdf

Previous notices
15-day notice of proposed changes doc Adobe Acrobat symbol pdf
Proposed regulations doc Adobe Acrobat symbol pdf
Notice to employees poster Adobe Acrobat symbol pdf
Notice of potential eligibility Adobe Acrobat symbol pdf

Notice of proposed rulemaking doc Adobe Acrobat symbol pdf  
Initial statement of reasons doc Adobe Acrobat symbol pdf  
Proposed regulations doc Adobe Acrobat symbol pdf 
Poster  Adobe Acrobat symbol pdf
Claim form repealed  Adobe Acrobat symbol pdf
otice of potential eligibility  Adobe Acrobat symbol pdf
Claim form Adobe Acrobat symbol pdf

Second notice of modification to text of proposed regulations

Members of the public are invited to present written comments regarding these proposed modifications. Only comments directly concerning the proposed modifications to the text of the regulations will be considered and responded to in the Final Statement of Reasons. 

Written comments should be addressed to:

Marcela Reyes, Regulations Coordinator
Department of Industrial Relations
Division of Workers' Compensation
Post Office Box 420603
San Francisco, CA 94142

The Division's contact person must receive all written comments concerning the proposed modifications to the regulations no later than 5:00 p.m. on Wednesday, May 12, 2004. Written comments may be submitted by facsimile transmission FAX , addressed to the contact person at 415 703-4720. Written comments may also be sent electronically via e-mail , using the following e-mail address: dwcrules@hq.dir.ca.gov.

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