Skip to Main Content


This information is provided free of charge by the Department of Industrial Relations from its web site at www.dir.ca.gov. These regulations are for the convenience of the user and no representation or warranty is made that the information is current or accurate. See full disclaimer at https://www.dir.ca.gov/od_pub/disclaimer.html.
 
Chapter 4.5. Division of Workers' Compensation
Subchapter 1.5. Injuries on or After January 1, 1990
Article 6. Claim Form: Availability, Filing, Acknowledgement of Receipt, Dismissal
New Query

§10118.1. Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility. [Renumbered]



     Note: Authority cited: Sections 133 and 5307.3, Labor Code. Reference: Sections 139.5, 4600, 4604.5, 4616, 4658.5, 4658.6, 5401, 5401.7 and 5402, Labor Code.  


 HISTORY 
   
1. New section filed 7-7-2004; operative 8-1-2004 pursuant to  GovernmentCode section 11343.4 (Register 2004, No. 28).

2. Change without regulatory effect renumbering former section 10118.1 to section 10139 filed 4-7-2008 pursuant to section 100, title 1, CaliforniaCode of Regulations (Register 2008, No. 15).

Go BackGo Back to Article 6.