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California Division of Workers' Compensation
DESCRIPTION OF EMPLOYEE'S JOB DUTIES
Purpose:
To obtain a job description which is to be forwarded to the employee's treating physician when an injury or illness results in disability exceeding 90 days.
Submitted by:
1. Qualified Rehabilitation Representative, if the injury is before 1/1/94, or
2. Claims Administrator if the injury is on or after 1/1/94.
When prepared:
If the injury is before 1/1/94, the QRR meets with the employee to jointly complete this form and provides a copy of the form in conjunction with the RU-90 to the employee's treating physician. If the injury is on or after 1/1/94, the claims administrator consults with the injured worker in completing the RU-91 and then submits it to the treating physician.
When 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:
Qualified Rehabilitation Representative or claim administrator, in consultation with the employee and employer, completes the entire form.
Accompanying document:
The RU-91 is to be attached to the RU-90 and submitted to the treating doctor.
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 and amendment of Form RU-91 from section 10133 to section 10133.11, 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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