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 9. CLAIM FORM: AVAILABILITY, FILING, ACKNOWLEDGEMENT OF RECEIPT, DISMISSAL

Return to index
New query


§ 10139. Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility.


Note: Authority cited: Sections 133, 5307.3 and 5401, Labor Code. Reference: Sections 132(a), 139.48, 139.6, 4600, 4600.3, 4601, 4604.5, 4616, 4650, 4656, 4658.5, 4658.6, 4700, 4701, 4702, 4703, 5400, 5401, 5401.7 and 5402, Labor Code.
HISTORY
1. Change without regulatory effect renumbering former section 10118.1 to section 10139 filed 4-7-2008 pursuant to section 100, title 1, California Code of Regulations (Register 2008, No. 15).
2. Amendment of section and Note filed 8-9-2010; operative 10-8-2010 (Register 2010, No. 33).
3. Repealer and new section filed 8-24-2015; operative 1-1-2016 (Register 2015, No. 35).


Go Back Go Back to Article 9 Table of Contents