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Claim form final 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Repealed claim form (Adobe Acrobat symbol pdf)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)
Third 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)
Second 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Claim form repealed (Adobe Acrobat symbol pdf)
Notice 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.