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General
Division of Workers Compensation
(http://www.dir.ca.gov./workers'_comp.html)
Medical information/US National Library
of Medicine/National Institute of Health (http://medlineplus.gov)
Reporting Forms for all claim participants-California
Division of Workers' Compensation
(http://www.dir.ca.gov/dwc/forms.html)
For Injured Workers
Fact sheets for injured workers
(http://www.dir.ca.gov./chswc/injured_worker_factsheets.html)
General information workers
(http://www.workitout.ca.gov/default.asp?id=11)
Information and Assistance Offices/ Injured Worker Workshops
(http://www.dir.ca.gov/DWC/dir2.htm)
Injured Worker Guides-Division of Workers' Compensation (DWC)
(http://www.dir.ca.gov/dwc/iwguides.html)
For the injured worker: Notice of Options Following Permanent
Disability Rating (DEU Form 110) from the DWC 01/01/05
(http://www.dir.ca.gov/dwc/DEU110.pdf)
Medical Mileage Expense Form/Forma de gastos por distancisa
recorrida por visitas medica
(http://www.dir.ca.gov/dwc/i%26a%5Fmileageform.pdf)
Young Workers
(http://www.dir.ca.gov./YoungWorker/YoungWorkersMain.html)
For Medical Providers
Environmental Medicine (http://acoem.com)
Permanent and Stationary Report (PR-4) for rating prepared
pursuant to the 2005 Permanent Disability Rating Schedule and
AMA Guides
(http://www.dir.ca.gov/dwc/PR-4.pdf)
Permanent and Stationary Report (PR-3) for rating prepared
pursuant to the 1997 Permanent Disability Rating Schedule-revised
01/01/05
(http://www.dir.ca.gov/dwc/PR-3.pdf)
Progress Report for Primary Treating Physician's (PR-2) revised
01/01/05
(http://www.dir.ca.gov/dwc/PR-2.pdf)
For Employers
Poster For Employers, Notice to Employees-Injuries Caused By
Work
(in English and Spanish) from the DWC
(http://www.dir.ca.gov/dwc/NoticePoster.pdf)
For Employers: Notice of Potential Eligibility (DWC 1) form
(http://www.dir.ca.gov/dwc/DWCForm1.pdf)
Employer's Report of Occupational Injury or Illness Form 5020
-
revised June 2002
(http://www.dir.ca.gov/DOSH/DoshReg/Form5020.pdf)
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