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

81 - 100 of 136 forms

Form Title Topics
Petition for commutation of future payments
Petition for permission to negotiate a section 3201.7 labor-management agreement
Petition for reconsideration
Petition for suspension or revocation of a medical provider network - Part A
Petition to terminate liability for temporary disability indemnity
Physician's Return-to-Work & Voucher Report
Pre-trial conference statement
Pre-trial conference statement lien issues addendum
Primary treating physician's permanent and stationary report
Primary treating physician's progress report
Private Roster
Proof of service
Provider's request for second bill review
Public stand alone roster
QME/AME report time frame extension request
QME appointment notification form
QME disclosure of specified financial interests
QME notice of unavailability
QME or AME conflict of interest disclosure form and objection or waiver
Qualified medical evaluator (QME)

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:
  • WCABWritUnit@dir.ca.gov.

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