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Division of Workers' Compensation - Court administrator regulations,
Disability Evaluation Unit (DEU) and
Retraining and Return to Work Unit (RRTW) regulations
Workers' compensation final regulations
Electronic Adjudication Management System (EAMS)
Title 8, California Code of Regulations
Filed with secretary of state Nov. 17, 2008
Effective Nov. 17, 2008
- Court administrator clean copy of final regulations
version 
version - Disability Evaluation Unit (DEU) clean copy of final regulations version version
- Retraining and Return to Work Unit (RRTW) clean copy of final regulations version version
History of Electronic Adjudication Management System (EAMS)
Court administrator regulations
Sections 10210 - 10297
Forms
- DWC-CA form 10214(a) Stipulations with request for awards
- DWC-CA form 10214(b) Stipulations with request for awards (death case)
- DWC-CA form 10214(c) Compromise and release
- DWC-CA form 10214(d) Compromise and release (dependency claim)
- DWC-CA form 10214(e) Compromise and release (third party)
- DWC-CA form 10232.1 Document cover sheet
- DWC-CA form 10232.2 Document separator sheet (click paperclip for document titles and document types)
Document titles and document types for all product delivery units - DWC-CA form 10245 Minutes of hearing
- DWC-CA form 10250.1 Declaration of readiness to proceed
- DWC-CA form 10252.1 Declaration of readiness to proceed (expedited trial)
- DWC-CA form 10253.1 Pre Trial Conference Statement
- DWC-CA form 10297 Arbitration Submittal
Disability Evaluation Unit (DEU) regulations
Sections 10150 - 10168
Forms
- DWC-AD form 100 (DEU) Employees Permanent Disability Questionnaire
- DWC-AD form 101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
- DWC-AD form 102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
- DWC-AD form 104 (DEU) Request for Consultative Rating (RCR)
Retraining and Return to Work Unit (RRTW) regulations
Sections 10116 - 10133.58
Forms
- RU102 - Vocational Rehabilitation Plan - 10133.13
- RU103 - Request for Dispute Resolution - 10133.14
- RU105 - Notice of Termination of Vocational Rehabilitation -10133.16
- RU122 - Settlement of Prospective Vocational Rehabilitation Services - 10133.22
- DWC-AD form 10118 Notice of Offer of Regular Work
- DWC-AD form 10120 Request for Reimbursement of Accommodation Expense
- DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
- DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
- DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
Court administrator regulations
Sections 10210 - 10297
- Final statement of reasons and updated informative digest version version
- Final text of regulations version version
Forms
- DWC-CA form 10214(a) Stipulations with request for awards
- DWC-CA form 10214(b) Stipulations with request for awards (death case)
- DWC-CA form 10214(c) Compromise and release
- DWC-CA form 10214(d) Compromise and release (dependency claim)
- DWC-CA form 10214(e) Compromise and release (third party)
- DWC-CA form 10232.1 Document cover sheet
- DWC-CA form 10232.2 Document separator sheet
(click paperclip for document titles and document types)
Document titles and document types for all product delivery units - DWC-CA form 10245 Minutes of hearing
- DWC-CA form 10250.1 Declaration of readiness to proceed
- DWC-CA form 10252.1 Declaration of readiness to proceed (expedited trial)
- DWC-CA form 10253.1 Pre Trial Conference Statement
- DWC-CA form 10297 Arbitration Submittal
Disability Evaluation Unit (DEU) regulations
Sections 10150 - 10168
- Final statement of reasons and updated informative digest version version
- Final text of regulations version version
Forms
- DWC-AD form 100 (DEU) Employees Permanent Disability Questionnaire
- DWC-AD form 101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
- DWC-AD form 102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
- DWC-AD form 104 (DEU) Request for Consultative Rating (RCR)
Retraining and Return to Work Unit (RRTW) regulations
Sections 10116 - 10133.58
- Final statement of reasons and updated informative digest version version
- Final text of regulations version version
Forms
- RU102 - Vocational Rehabilitation Plan - 10133.13
- RU103 - Request for Dispute Resolution - 10133.14
- RU105 - Notice of Termination of Vocational Rehabilitation -10133.16
- RU122 - Settlement of Prospective Vocational Rehabilitation Services - 10133.22
- DWC-AD form 10118 Notice of Offer of Regular Work
- DWC-AD form 10120 Request for Reimbursement of Accommodation Expense
- DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
- DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
- DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
Comment Chart - 45 day comment
- Court administrator version version
- Disability Evaluation Unit (DEU) version version
- Retraining and Return to Work Unit (RRTW) version version
1st 15 day
- Court administrator version version
- Disability Evaluation Unit (DEU) version version
- Retraining and Return to Work Unit (RRTW) version version
15 day comment period - Aug. 21, 2008
Court administrator regulations
Sections 10210 - 10297
- Notice of modification to text of regulations version version
- Text of proposed regulations version version
Forms
- DWC-CA form 10214(a) Stipulations with Request for Awards
- DWC-CA form 10214(b) Stipulations with Request for Awards (Death Case)
- DWC-CA form 10214(c) Compromise and Release
- DWC-CA form 10214(d) Compromise and Release (Dependency Claim)
- DWC-CA form 10214(e) Compromise and Release (Third Party)
- DWC-CA form 10232.1 Document Cover Sheet
- DWC-CA form 10232.2 Document Separator Sheet
- DWC-CA form 10245 Minutes of Hearing
- DWC-CA form 10250.1 Declaration of Readiness to Proceed
- DWC-CA form 10252.1 Declaration of Readiness to Proceed (Expedited Trial)
Disability Evaluation Unit (DEU) regulations
Sections 10150 - 10168
- Notice of modification to text of regulations version version
- Text of proposed regulations version version
Forms
- DWC-AD form100 (DEU) Employees Permanent Disability Questionnaire
- DWC-AD form101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
- DWC-AD form102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
- DWC-AD form 104 (DEU) Request for Consultative Rating (RCR)
Retraining and Return to Work Unit (RRTW) regulations
Sections 10116 - 10133.58
- Notice of modification to text of regulations version version
- Text of proposed regulations version version
Forms
- RU102 - Vocational Rehabilitation Plan - 10133.13
- RU103 - Request for Dispute Resolution - 10133.14
- RU105 - Notice of Termination of Vocational Rehabilitation -10133.16
- RU122 - Settlement of Prospective Vocational Rehabilitation Services 10133.22
- DWC-AD form 10118 Notice of Offer of Regular Work
- DWC-AD form 10120 Request for Reimbursement of Accommodation Expense
- DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
- DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
- DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
- Transcript of public hearing testimony - Los Angeles version
- Transcript of public hearing testimony - Oakland version
45 day comment period - Jul. 15, 2008
Court administrator regulations
Sections 10210 - 10297
- Notice of proposed rulemaking version version
- Initial statement of reasons version version
- Court administrator text of regulations version version
Forms
- DWC-CA form 10214(a) Stipulations with Request for Awards
- DWC-CA form 10214(b) Stipulations with Request for Awards (Death Case)
- DWC-CA form 10214(c) Compromise and Release
- DWC-CA form 10214(d) Compromise and Release (Dependency Claim)
- DWC-CA form 10214(e) Compromise and Release Dependency Claim (Third Party)
- DWC-CA form 10232.1 Document Cover Sheet
- DWC-CA form 10232.2 Document Separator Sheet
- DWC-CA form 10245 Minutes of Hearing
- DWC-CA form 10250.1 Declaration of Readiness to Proceed
- DWC-CA form 10252.1 Declaration of Readiness to Proceed (Expedited Trial)
- DWC-CA form 10253.1 Pre Trial Conference Statement
- DWC-CA form 10297 Arbitration Submittal
Repealed Forms
Disability Evaluation Unit (DEU) regulations
Sections 10150 - 10168
- Notice of proposed rulemaking version version
- Initial statement of reasons version version
- Disability evaluation Unit text of regulations version version
Forms
- DWC-AD form100 (DEU) Employees Permanent Disability Questionnaire
- DWC-AD form101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
- DWC-AD form102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
- DWC-AD form 103 (DEU) Request for Reconsideration of Summary Rating by the Administrative Director
- DWC-AD form 104 (DEU) Request for Consultative Rating (RCR)
Replaced forms
- DWC-AD form100 (DEU) Employees Permanent Disability Questionnaire
- DWC-AD form101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
- DWC-AD form102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
Retraining and Return to Work Unit (RRTW) regulations
Sections 10116 - 10133.58
- Notice of proposed rulemaking version version
- Initial statement of reasons version version
- Retraining and return to work text of regulations version version
Forms
- RU102 - Vocational Rehabilitation Plan - 10133.13
- RU103 - Request for Dispute Resolution - 10133.14
- RU105 - Notice of Termination of Voctional Rehabilitation -10133.16
- RU122 - Settlement of Prospective Vocational Rehabilitation Services 10133.22
- DWC-AD form 10118 Notice of Offer of Regular Work
- DWC-AD form 10120 Request for Reimbursement of Accommodation Expense
- DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
- DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
- DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
Replaced forms
- RU102 - Vocational Rehabilitation Plan
- RU103 - Request for Dispute Resolution
- RU105 - Notice of Termination of Voctional Rehabilitation
- RU122 - Settlement of Prospective Vocational Rehabilitation Services
- DWC-AD form 10003 (SJDB) Notice of Offer of Regular Work
- DWC-AD form 10005 (SJDB) Request for Reimbursement of Accommodation Expense
- DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
- DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
- DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
Time and place of public hearing
A public hearing has been scheduled to permit all interested persons the opportunity to present statements, arguments, either orally or in writing, with respect to the subject noted above. The hearing will be held at the following time and place:
| Date: | Monday, July 14, 2008 |
| Time: | 10:00 a.m. to 5:00 p.m. or conclusion of testimony |
| Place: | Ronald Reagan State Office Building - auditorium 300 South Spring Street Los Angeles, CA |
| Date: | Tuesday, July 15, 2008 |
| Time: | 10:00 a.m. to 5:00 p.m. or conclusion of testimony |
| Place: | Elihu Harris State Building - auditorium 1515 Clay Street Oakland, CA 94612 |
Camera usage will be allowed in only one area of the hearing room. To provide everyone a chance to speak, public testimony will be limited to 10 minutes per speaker and should be specific to the proposed regulations. Testimony exceeding 10 minutes may be submitted in writing.
Written comments should be addressed to:
Maureen Gray, regulations coordinator
Department of Industrial Relations
Division of Workers' Compensation
1515 Clay Street, 18th floor
Oakland, CA 94162
The division's contact person must receive all written comments concerning the proposed modifications to the regulations no later 5:00 p.m. on July 15, 2008. Written comments may be submitted by facsimile transmission (FAX), addressed to the contact person at (510) 286-0687. Written comments may also be sent electronically (via e-mail), using the following e-mail address: dwcrules@hq.dir.ca.gov.
