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Division of Workers' Compensation - Fact sheets and guides for injured worker

These fact sheets provide injured workers with answers to frequently asked questions about issues affecting their benefits.

Fact sheet A
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Answers to your questions about utilization review
Fact sheet B
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Glossary of workers' compensation terms for injured workers
Fact sheet C
word image version acrobat image version
Answers to your questions about temporary disability benefits
Fact sheet D
word image version acrobat image version
Answers to your questions about permanent disability benefits
Fact sheet E
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Answers to your questions about qualified medical evaluators and agreed medical evaluators
Fact sheet F
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Answers to your questions about the state's Uninsured Employers Fund

Injured worker guides

When injured workers have problems with their claims, they may need to go to the local workers' compensation office for help. Each of the guides below provides information on how to fill out a form they may need to get the problem resolved. Most have samples attached. The forms may also be downloaded from the DWC forms page.

I&A guide 1 Acrobat image How to file a workers' compensation claim form
I&A guide 2 Acrobat image How to request a qualified medical evaluation
I&A guide 3 Acrobat image How to object to your summary rating
I&A guide 4 Acrobat image How to file an application for adjudication of claim
I&A guide 5 Acrobat image How to file a declaration of readiness to proceed
I&A guide 6 Acrobat image How to request an expedited hearing
I&A guide 7 Acrobat image How to file a petition for discrimination (Labor Code 132a)
I&A guide 8 Acrobat image How to file a serious and willful misconduct petition
I & A guide 9 Acrobat image How to file a petition for commutation
I&A guide 10 Acrobat image How to file a lien
I&A guide 11 Acrobat image How to file a petition to reopen
I&A guide 12 Acrobat image How to file a petition for reconsideration
I&A guide 13 Acrobat image How to file a rehabilitation appeal
I&A guide 14 Acrobat image How to file a complaint with the Audit Unit
I&A guide 15 Acrobat image How to dismiss your attorney
I&A guide 16 Acrobat image
I&A guide 16A Acrobat image
I&A guide 16B Acrobat image
How to file a claim with the Uninsured Employers Fund
How to correctly name your employer for the Uninsured Employers Fund
How to serve your employer in an Uninsured Employers Fund case

Guías en español
Guides in Chinese - coming soon
Guides in Vietnamese - coming soon

NOTE: If you do not have the Adobe Acrobat Reader already installed on your computer, you may download the latest version for free from Adobe's Web site at www.adobe.com.

September 2007