Worker's Compensation Appeals Board

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

61 - 80 of 136 forms

Form Title Topics
Medical Provider Network
Minutes of hearing
Minutes of hearing - addendum
MPN response to petition for suspension or revocation of a medical provider network - Part B
Notice and request for allowance of lien
Notice of dismissal of attorney
Notice of employee death
Notice of medical provider network plan modification
Notice Of Offer Of Modified Or Alternative Work
Notice of Offer Of Regular Modified Or Alternative Work
Notice of Offer of Regular Work
Notice of options following disability rating
Notice of personal chiropractor or personal acupuncturist
Notice of pre-designation of personal physician
Notice to Actuaries Submitting Actuarial Summaries and Studies for Private Self-Insured Employers
Noticia de quiropráctico personal o acupuntor personal
OSIP Online Services Guide Actuaries
OSIP Online User Guides
Petition for appointment of guardian ad litem and trustee
Petition for change of primary treating physician

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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