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Download Documents & Forms WCAB Forms Declaration of Readiness to Proceed 16.4 KB Declaration of Readiness to Proceed to Expedited Hearing (Trial) 7.35 KB Information Guidelines for Submission of Settlement Documents 24.2 KB Pre-Trial Conference Statement 44.8 KB Minutes of Hearing/Order/Order & Decision on Request for Continuance/Order Taking off Calendar/Notice of Hearing 18.3 KB Disability Evaluation Forms Schedule For Rating Permanent Disabilities (04/01/1997 to present) 458 KB DEU Form 100 - Employee's Permanent Disability Questionnaire 9.63 KB DEU Form 101 - Request for Summary Rating Determination of Qualified or Agreed Medical Examiner's Report 7.66 KB DEU Form 102 - Request for Summary Rating Determination of Primary Treating Physician's Report 7.81 KB DEU Form 103 - Request for Reconsideration of Summary Rating by the Administrative Director 14 KB DEU Form 105 - Apportionment 6.57 KB DEU Form 110 - Notice of Options Following Permanent Disability Rating 8.25 KB DIA Form 200 - Employee's Request for Informal Permanent Disability Rating 11.4 KB DWC 201 - Request for Informal Rating by Insurance Carrier or Self-Insurer 10 KB Request for Consultative Rating 12.3 KB Vocational Rehabilitation Forms RU-90: Treating Physician's Report of Disability Status 17 KB RU-91: Description of Employee's Job Duties 13.2 KB RU-94: Notice of Offer of Modified or Alternative Work 14.4 KB RU-102: Vocational Rehabilitation Plan 36.5 KB RU-103: Request for Dispute Resolution 18.7 KB RB-105: Request for Conclusion of Rehabilitation Benefits 18.5 KB RU-105: Notice of Termination of Vocational Rehabilitation Services 20.4 KB RB-107: Statement of Decline of Vocational Rehabilitation Benefits (for DOIs pre 01/01/1990) 14.7 KB RU-107: Employee Statement of Declination of Vocational Rehabilitation Services (DOIs 01/01/1990 - 12/31/1993) 27.7 KB RU-107A: Statement of Decline of Vocational Rehabilitation Services (for DOIs after 01/01/1994) 27.8 KB RU-120: Initial Evaluation Summary 26.7 KB RU-121: Vocational Rehabilitation Progress Report 12.8 KB RU-122: Settlement of Prospective Vocational Rehabilitation Services 19.2 KB Primary Treating Physician Forms PR-2: Primary Treating Physician's Progress Report 10.2 KB PR-3: Primary Treating Physician's Permanent and Stationary Report 21.1 KB 280: Petition For Change of Primary Treating Physician 59.9 KB

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