<?xml version="1.0" encoding="UTF-8"?>
<!-- edited with XMLSpy v2011 (http://www.altova.com) by Dale Klein (CA Dept. of Industrial Relations) -->
<xs:schema xmlns="http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/DORExpedited" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:FF="http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields" xmlns:CD="http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains" xmlns:CF="http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/CommonFields" targetNamespace="http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Forms/DORExpedited" elementFormDefault="qualified" attributeFormDefault="unqualified">
	<xs:import namespace="http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/FormFields" schemaLocation="../../Common/FormFields/FormFields.xsd"/>
	<xs:import namespace="http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/CommonFields" schemaLocation="../../common/CommonFields/CommonFields.xsd"/>
	<xs:import namespace="http://www.dir.ca.gov/dwc/EAMS/PresentTermSolution/Schemas/Common/Formdomains" schemaLocation="../../common/FormDomains/FormDomains.xsd"/>
	<xs:simpleType name="declarantStatementUnderPrejury">
		<xs:restriction base="xs:string">
			<xs:maxLength value="455"/>
			<xs:minLength value="0"/>
		</xs:restriction>
	</xs:simpleType>
	<xs:element name="DORExpedited">
		<xs:annotation>
			<xs:documentation>DOR Expedited Form</xs:documentation>
		</xs:annotation>
		<xs:complexType>
			<xs:sequence>
				<xs:element name="HeaderSection" type="HeaderSection"/>
				<xs:element name="ApplicantSection" type="ApplicationSection"/>
				<xs:element name="EmployerSection">
					<xs:complexType>
						<xs:complexContent>
							<xs:extension base="CD:OrganizationInformation"/>
						</xs:complexContent>
					</xs:complexType>
				</xs:element>
				<xs:element name="DeclarantRequestSection" type="DeclarantRequest"/>
				<xs:element name="DeclarantSignatureSection" type="DeclarantSignature"/>
			</xs:sequence>
		</xs:complexType>
	</xs:element>
	<xs:complexType name="ApplicationSection">
		<xs:sequence>
			<xs:element name="Name" type="CD:PersonName"/>
		</xs:sequence>
	</xs:complexType>
	<xs:complexType name="DeclarantRequest">
		<xs:sequence>
			<xs:element name="DeclarantRequestType" type="DeclarantRequestType"/>
			<xs:element name="DeclarantStatementUnderPrejury" type="declarantStatementUnderPrejury" minOccurs="0"/>
		</xs:sequence>
	</xs:complexType>
	<xs:complexType name="DeclarantRequestType">
		<xs:sequence>
			<xs:element name="EntitlementToMedicalTreatment" type="CD:CheckBox"/>
			<xs:element name="EntitlementToTemporaryDisability" type="CD:CheckBox"/>
			<xs:element name="AppealFromDetermination" type="CD:CheckBox"/>
			<xs:element name="EntitlementToCompensation" type="CD:CheckBox"/>
		</xs:sequence>
	</xs:complexType>
	<xs:complexType name="DeclarantSignature">
		<xs:group ref="CD:DeclarantSignatureGroup"/>
	</xs:complexType>
	<xs:complexType name="HeaderSection">
		<xs:sequence>
			<xs:element name="VersionNumber" type="CF:versionNumber" fixed="1.2"/>
		</xs:sequence>
	</xs:complexType>
</xs:schema>
