Chapter 4.5. Division of Workers' Compensation
Subchapter 1.5. Injuries on or After January 1, 1990
Article 7. Vocational Rehabilitation

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§10133.10. Form RU-90 “Treating Physician's Report of Disability Status” and Form Filing Instructions.

Rehabilitation Unit

California Division of Workers' Compensation

Form RU-90

TREATING PHYSICIAN'S REPORT OF DISABILITY STATUS

Purpose:

To allow early identification of employee's potential need for vocational rehabilitation services, the claims administrator or Qualified Rehabilitation Representative must solicit the treating physician's opinion concerning the employee's ability to return to previous employment.

Submitted by:

Qualified Rehabilitation Representative assigned by claims administrator, if the injury is before 1/1/94 or claims administrator if the injury is on or after 1/1/94.

When submitted:

At 90 days of aggregate temporary disability and thereafter at 60 day intervals, or less, until medical eligibility has been determined.

Where submitted:

To the treating physician. Do not file the RU-90 or RU-91 with the Rehabilitation Unit unless specifically requested or when submitting information as part of a dispute.

Form completion:

The Qualified Rehabilitation Representative or claims administrator completes the identification data on the form and the treating physician is responsible for the completion of the remainder of the form, including signature. Be sure to fill in the claims administrator name and address or the doctor may become confused and return the form to the Rehabilitation Unit. Upon completion, the treating physician returns the form to the claims administrator with a copy to the Qualified Rehabilitation Representative, if applicable, and injured worker.

Accompanying document:

Description of Employee's Job Duties (RU-91) must be included when the RU-90 is initially sent to the treating physician.

Response to RU-90:

The claims administrator within 10 days of receipt of the final Treating Physician's Report Of Disability Status (RU-90), shall notify the employee of his/her status using the prescribed Notice of Potential Eligibility or Denial of Vocational Rehabilitation Services, whichever is applicable.

The completed RU-90 is a medical report and is to be served on all parties by the claims administrator with the previously completed RU-91.

Rehabilitation Unit action:

None.

NOTE

Authority cited: Sections 133, 139.5 and 5307.3, Labor Code. Reference: Sections 4636 and 4637, Labor Code.

HISTORY

1. New section, relocation of Form RU-90 from section 10133 to section 10133.10, and new form filing instructions filed 1-29-2003; operative 1-29-2003 pursuant to Government Code section 11343.4 (Register 2003, No. 5).

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The above information is provided free of charge by the Department of Industrial Relations from its web site at www.dir.ca.gov.