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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 8. Attorney Fee Disclosure Statement

New Query


§10134. Attorney Fee Disclosure Statement Form.


DWC Form 3, Attorney Fee Disclosure Statement Form.

DWC Form 3, Attorney Fee Disclosure Statement Form. (Spanish)

Note: Authority cited: Sections 133 and 5307.3, Labor Code. Reference: Section 4906, Labor Code.
HISTORY
1. New section filed 1-18-90; operative 1-18-90 (Register 90, No. 4). New section is exempt from review by OAL pursuant to Government Code section 11351.
2. Repealer and new section filed 4-13-93; operative 4-13-93. Submitted to OAL for printing only pursuant to Government Code section 11351 (Register 93, No. 16)
3. Change without regulatory effect amending section and Note filed 2-2-2017 pursuant to section 100, title 1, California Code of Regulations (Register 2017, No. 5).


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