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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 9. CLAIM FORM: AVAILABILITY, FILING, ACKNOWLEDGEMENT OF RECEIPT, DISMISSAL
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§10140. Employer's Responsibility to Process Claim Form, Claims Administrator's Duty to Provide Claim Form.



(a) Within one working day of receipt of a claim form, the employer shall date the claim form and provide a dated copy of the form to the employee and the employer's claims administrator.

(b) If the claims administrator obtains knowledge that the employer has not provided a claim form, it shall provide one to the employee within three working days of its knowledge that the form was not provided.

(c) If the claims administrator cannot determine if the employer has provided a claim form to the employee, the claims administrator shall provide one to the employee within 30 days of the administrator's date of knowledge of the claim.
     Note: Authority cited: Sections 133 and 5307.3, Labor Code. Reference: Sections 5401 and 5402, Labor Code.  


 HISTORY 
   
1. Change without regulatory effect renumbering former section 10119 to section 10140 filed 4-7-2008 pursuant to  section 100, title 1, California Code ofRegulations (Register 2008, No. 15).


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