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

101 - 120 of 136 forms

Form Title Topics
Qualified medical evaluator's findings summary form - unrepresented cases only
Reappointment application as qualified medical evaluator
Replacement panel request
Report of suspected medical care provider fraud
Report of Transfer of Records
Request for accommodations by persons with disability
Request for authorization for medical treatment
Request for authorization number form
Request for consultative rating
Request for Factual Correction of a Unrepresented Panel QME Report
Request for independent bill review
Request for public records
Request For QME panel under Labor Code Section 4062.1 - Unrepresented
Request For QME panel under Labor Code Section 4062.2
Request for reconsideration of summary rating by the administrative director
Request for summary rating determination of Qualified Medical Evaluator's (QME) Report
Request for summary rating determination - primary treating physician report
Resolution of Agreement of Parental Assumption and Guarantee
Self Insured Assessment Instruction Letter 2013-2014
Special notice of lawsuit

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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