Worker's Compensation Appeals Board

State of California

Official Website: https://www.dir.ca.gov/wcab/

The Workers’ Compensation Appeals Board exercises all judicial powers vested by the Labor Code and provides guidance and leadership to the workers' compensation community. The seven-member judicial body, appointed by the Governor and confirmed by the Senate, reviews petitions for reconsideration of decisions by workers' compensation administrative law judges and regulates the adjudication process by adopting rules of practice and procedure.

Forms & Documents

Browse all Worker's Compensation Appeals Board government forms

21 - 40 of 136 forms

Form Title Topics
Application for subsequent injuries fund benefits
Apportionment request
Attorney Fee Disclosure Statement
Audit Unit
Body part codes list
Changes to document separator sheet
Commutation request
Complaint form: Qualified medical evaluator (QME)
Compromise and release
Compromise and release - dependency claim
Compromise and release - third party
Course Evaluation for Administrative Director (QME)
Cover page for medical provider network application or plan for reapproval
Declaration of readiness to proceed
Declaration of readiness to proceed - expedited trial
Declaration pursuant to Labor Code section 4906(h)
Declaration regarding protection of mental health record
Description Of Employee's Job Duties
Designación previa de médico personal
Disclosure of contract reimbursement rate

Contact Information & Office Locations

1 contact point

Main Office

Address:
Post Office Box 429459
455 Golden Gate Avenue
9th Floor
San Francisco, CA 94102

Emails:

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