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CWCI
1999 Harrison St., Suite 2100
Oakland, CA 94612
510-251-9470
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Electronic Adjudication Management System (EAMS)
DWC -- Approved by OAL
6/30/2010
DWC-CA form 10232.1 Document cover sheet
DWC-CA form 10232.2 Document separator sheet (with document titles list)
DWC-CA form 10232.2 Document separator sheet (without document titles list)
DWC-CA form 10250.1 Declaration of readiness to proceed
DWC-Document titles & types
DWC-List of added & deleted document titles
DWC -- Filed with Secretary of State
11/17/2008
DWC Newsline 69-08
DWC Rules of Court Administrator
DWC-CA form 10214(a) Stipulations with request for awards
DWC-CA form 10214(b) Stipulations with request for awards (death case)
DWC-CA form 10214(c) Compromise and release
DWC-CA form 10214(d) Compromise and release (dependency claim)
DWC-CA form 10214(e) Compromise and release (third party)
DWC-CA form 10232.1 Document cover sheet
DWC-CA form 10232.2 Document separator sheet Document titles list
DWC-CA form 10232.2 Document separator sheet (with document titles list)
DWC-CA form 10232.2 Document separator sheet (without document titles list)
DWC-CA form 10245 Minutes of hearing
DWC-CA form 10250.1 Declaration of readiness to proceed
DWC-CA form 10252.1 Declaration of readiness to proceed (expedited trial)
DWC-CA form 10253.1 Pre Trial Conference Statement
DWC-CA form 10297 Arbitration Submittal
DWC DEU Regulations
DWC-AD form 100 (DEU) Employees Permanent Disability Questionnaire
DWC-AD form 101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
DWC-AD form 102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
DWC-AD form 104 (DEU) Request for Consultative Rating (RCR)
DWC RRTW Regulations
DWC-AD form 10118 (SJDB) Notice of Offer of Regular Work
DWC-AD form 10120 (SJDB) Request for Reimbursement of Accommodation Expense
DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
RU102 - Vocational Rehabilitation Plan - 10133.13
RU103 - Request for Dispute Resolution - 10133.14
RU105 - Notice of Termination of Vocational Rehabilitation -10133.16
RU122 - Settlement of Prospective Vocational Rehabilitation Services - 10133.22
WCAB -- Filed with Secretary of State
11/17/2008
WCAB Final Information Digest
WCAB Final Statement of Reasons
WCAB Rules
DWC -- Submitted to OAL
10/01/2008
15 Day Comment Chart for Rules of Court Administrator
45-Day Comment Chart for Rules of Court Administrator
Addendum A to Court Administrator Rules 45-Day comment chart
Addendum B to Court Administrator Rules 45 day comment chart
Addendum C to Court Administrator Rules 45-Day comment chart
Final Rules of Court Administrator
Final Statement of Reasons for Rules of Court Administrator
15 Day Comment Chart for DEU Regulations
45-Day Comments Chart for DEU Regulations
Final Regulations of DEU
Final Statement of Reasons for DEU Regulations
15 Day Comment Chart for RRTW Unit Regulations
45-Day Comment Chart for RRTW Unit Regulations
Final RRTW Unit Regulations
Final Statement of Reasons for RRTW Unit Regulations
WCAB -- 45 Day Public Hearing
9/12/2008
CWCI Testimony
DWC Newsline 45-08
Initial Statement of Reasons for WCAB Rules
Notice of Proposed WCAB Rulemaking
WCAB Rules
DWC -- First 15-day Comment Period
8/21/2008
CWCI Comment
Regulations of Court Administrator
Notice of Modification for Court Administrator Regulations
DWC-CA form 10214(a) Stipulations with Request for Awards
DWC-CA form 10214(b) Stipulations with Request for Awards (Death Case)
DWC-CA form 10214(c) Compromise and Release
DWC-CA form 10214(d) Compromise and Release (Dependency Claim)
DWC-CA form 10214(e) Compromise and Release (Third Party)
DWC-CA form 10232.1 Document Cover Sheet
DWC-CA form 10232.2 Document Separator Sheet
DWC-CA form 10245 Minutes of Hearing
DWC-CA form 10250.1 Declaration of Readiness to Proceed
DWC-CA form 10252.1 Declaration of Readiness to Proceed (Expedited Trial)
Notice of Modification for DEU Regulations
Regulations of DEU
DWC-AD form100 (DEU) Employees Permanent Disability Questionnaire
DWC-AD form101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
DWC-AD form102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
DWC-AD form 104 (DEU) Request for Consultative Rating (RCR)
Notice of Modification for RRTW Unit Regulations
Regulations of RRTW Unit
DWC-AD form 10118 (SJDB) Notice of Offer of Regular Work
DWC-AD form 10120 (SJDB) Request for Reimbursement of Accommodation Expense
DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
RU102 - Vocational Rehabilitation Plan - 10133.13
RU103 - Request for Dispute Resolution - 10133.14
RU105 - Notice of Termination of Vocational Rehabilitation -10133.16
RU122 - Settlement of Prospective Vocational Rehabilitation Services 10133.22
DWC -- 45 Day Public Hearing
7/15/2008
1) CWCI Written Testimony
Notice of Proposed Rulemaking for Court Administrator Regulations
Initial Statement of Reasons for Claims Administrator Regulations
Regulations of Court Administrator - Sections 10210 - 10297
DWC-CA form 10214(a) Stipulations with Request for Awards
DWC-CA form 10214(b) Stipulations with Request for Awards (Death Case)
DWC-CA form 10214(c) Compromise and Release
DWC-CA form 10214(d) Compromise and Release (Dependency Claim)
DWC-CA form 10214(e) Compromise and Release Dependency Claim (Third Party)
DWC-CA form 10232.1 Document Cover Sheet
DWC-CA form 10232.2 Document Separator Sheet
DWC-CA form 10245 Minutes of Hearing
DWC-CA form 10250.1 Declaration of Readiness to Proceed
DWC-CA form 10252.1 Declaration of Readiness to Proceed (Expedited Trial)
DWC-CA form 10253.1 Pre Trial Conference Statement
DWC-CA form 10297 Arbitration Submittal
Repealed DWC WCAB 4 Declaration of Readiness to Proceed - Expedited Hearing (Trial)
Initial Statement of Reasons for DEU Regulations
Notice of Proposed Rulemaking for DEU Regulations
Regulations of Disability Evaluation Unit - Sections 10150 - 10168
DWC-AD form100 (DEU) Employees Permanent Disability Questionnaire
DWC-AD form101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
DWC-AD form102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
DWC-AD form 103 (DEU) Request for Reconsideration of Summary Rating by the Administrative Director
DWC-AD form 104 (DEU) Request for Consultative Rating (RCR)
Repealed DWC-AD form100 (DEU) Employees Permanent Disability Questionnaire
Repealed DWC-AD form101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report
Repealed DWC-AD form102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report
Initial Statement of Reasons for RRTW Unit Regulations
Notice of Proposed Rulemaking for RRTW Unit Regulations
Regulations of Retraining and Return to Work Unit - Sections 10116 - 10133.58
RU105 - Notice of Termination of Voctional Rehabilitation -10133.16
RU103 - Request for Dispute Resolution - 10133.14
DWC-AD form 10118 (SJDB) Notice of Offer of Regular Work
DWC-AD form 10120 (SJDB) Request for Reimbursement of Accommodation Expense
DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
RU102 - Vocational Rehabilitation Plan - 10133.13
Repealed DWC-AD form 10133.57 (SJDB) Supplemental Job Displacement Nontransferable Training Voucher
Repealed RU102 - Vocational Rehabilitation Plan
Repealed DWC-AD form 10003 (SJDB) Notice of Offer of Regular Work
RU122 - Settlement of Prospective Vocational Rehabilitation Services 10133.22
Repealed DWC-AD form 10005 (SJDB) Request for Reimbursement of Accommodation Expense
Repealed DWC-AD form 10133.53 (SJDB) Notice of Offer of Modified or Alternative Work
Repealed DWC-AD form 10133.55 (SJDB) Request for Dispute Resolution Before the Administrative Director
Repealed RU103 - Request for Dispute Resolution
Repealed RU105 - Notice of Termination of Voctional Rehabilitation
Repealed RU122 - Settlement of Prospective Vocational Rehabilitation Services
2nd Forum Comments
3/25/2008
CWCI comments on DWC Rules of the Court Administrator
CWCI comments on WCAB Rules of Practice and Procedure
Draft DWC DEU regulations
Draft DWC RRTW regulations
Draft DWC Rules of the Court Administrator
Draft WCAB Rules of Practice and Procedure
DWC Newsline 15-08
Draft form AD10003 - Notice of Offer of Regular Work - DWC-AD form 10118 (SJDB)
Draft form AD10005 - Request for Reimbursement of Accommodation Expense - DWC-AD form 10120 (SJDB)
Draft form AD10133.53 - Notice of Offer of Modified or Alternative Work - DWC-AD form 10133.53 (SJDB)
Draft form AD10133.55 - Request for Dispute Resolution Before the Administrative Director - DWC-AD form 10133.55 (SJDB)
Draft form AD10133.57 - Supplemental Job Displacement Nontransferable Training Voucher - DWC-AD form 1033.57 (SJDB)
Draft form DEU100 - Employees Permanent Disability Questionnaire - DWC-AD form100 (DEU)
Draft form DEU101 - Request for Summary Rating Determination - of AME's or QME's Report - DWC-AD form101 (DEU)
Draft form DEU102 - Request for Summary Rating Determination - Primary Treating Physician Report - DWC-AD form102 (DEU)
Draft form DEU103 - Request for Reconsideration of Summary Rating by the Administrative Director - DWC-AD form103 (DEU)
Draft form DEU104 - Request for Consultative Rating (RCR) - DWC-AD form104 (DEU)
Draft form RU102 - Vocational Rehabilitation Plan
Draft form RU103 - Request for Dispute Resolution
Draft form RU105 - Notice of Termination of Voctional Rehabilitation
Draft form RU122 - Settlement of Prospective Vocational Rehabilitation Services
Draft WCAB form 03 - Stipulations with Request for Awards - DWC-CA form 10214 (a)
Draft WCAB form 04 - Declaration of Readiness to Proceed (Expedited Trial) - DWC-CA form 10252.1
Draft WCAB form 04 - Stipulations with Request for Awards (Death Case) - DWC-CA form 10214(b)
Draft WCAB form 09 - Declaration of Readiness to Proceed - DWC-CA form 10250
Draft WCAB form 15 - Compromise and Release - DWC-CA form 10214(c)
Draft WCAB form 16 - Compromise and Release (Dependency Claim) - DWC-CA form 10214(d)
Draft WCAB form 17 - Compromise and Release Dependency Claim (Third Party) - DWC-CA form 10214(e)
Draft Arbitration Submittal Form
Draft Cover Sheet
Draft EAMS Patch Code - DWC-CA form 10232.2
Draft Minutes of Hearing - DWC-CA form 10244.1
Draft Pre Trial Conference Statement form - DWC -CA 10253.1
1st Forum Comments
11/21/2007
CWCI Comments on DWC Rules for EAMS Implementation
CWCI Comments on WCAB Rules for EAMS Implementation
Draft DWC court administrator regulations
Draft WCAB EAMS regulations
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