Industrial Welfare Commission

State of California

Official Website: https://www.dir.ca.gov/iwc/iwc.html

The Industrial Welfare Commission was established to regulate wages, hours and working conditions in California. IWC wage orders must be posted by all employers in an area frequented by employees, where they may be easily read during the workday. Copies of the wage orders may be downloaded or ordered electronically from DIR's workplace postings page. The IWC is currently not in operation. The Division of Labor Standards Enforcement (DLSE) continues to enforce the provisions of the wage orders.

Forms & Documents

Browse all Industrial Welfare Commission government forms

41 - 60 of 82 forms

Form Title Topics
QME Notice of Unavailability
QME or AME Conflict of Interest Disclosure Form
Qualified Medical Evaluator Complaint Form
QUALIFIED MEDICAL EVALUATOR'S FINDINGS SUMMARY FORM UNREPRESENTED INJURED EMPLOYEE CASES ONLY
REAPPOINTMENT APPLICATION AS QUALIFIED MEDICAL EVALUATOR
Replacement Panel Request-8 Cal. Code of Regulations section
REQUEST FOR CONSULTATIVE RATING
Request for DWC Authorization Number
Request For QME panel under Labor Code Section
REQUEST FOR QUALIFIED MEDICAL EVALUATOR PANEL
REQUEST FOR SUMMARY RATING DETERMINATION of Primary Treating Physician Report
REQUEST FOR SUMMARY RATING DETERMINATION of Qualified Medical Evaluator’s Report
State of California Additional PRIMARY TREATING PHYSICIAN'S PERMANENT AND STATIONARY REPORT
State of California Department of Industrial Relations Division of Workers' Compensation Request for Factual Correction of an Unrepresented Panel QME Report
State of California, Division of Workers’ Compensation APPLICATION FOR INDEPENDENT MEDICAL REVIEW DWC Form IMR
State of California Division of Workers' Compensation - Medical Unit Additional Panel Request-8 Cal. Code of Regulations section 31.7
State of California DIVISION OF WORKERS’ COMPENSATION – MEDICAL UNIT AME or QME Declaration of Service of Medical - Legal Report
State of California DIVISION OF WORKERS’ COMPENSATION ‐ MEDICAL UNIT DECLARATION REGARDING PROTECTION OF MENTAL HEALTH RECORD
State of California Division of Workers’ Compensation-Medical Unit QME/AME Report Time Frame Extension Request
State of California Division of Workers' Compensation-Medical Unit QME Appointment Notification Form

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