Electronic Adjudication Management System (EAMS)

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Repealed DWC WCAB 4 Declaration of Readiness to Proceed - Expedited Hearing (Trial):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Repealed DWC-AD form100 (DEU) Employees Permanent Disability Questionnaire:

Repealed DWC-AD form101 (DEU) Request for Summary Rating Determination - of AME's or QME's Report:

Repealed DWC-AD form102 (DEU) Request for Summary Rating Determination - Primary Treating Physician Report: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:

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:

Electronic Adjudication Management System (EAMS)

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