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

1 - 20 of 136 forms

Form Title Topics
2010-2011 Assessment Methodology
2011-2012 Methodology
2012-2013 Assessment Methodology
2014-2015 Assessment Methodology
2015-2016 Assessment Methodology
2016-2017 Assessment Methodology
2017-2018 Assessment Methodology
2018 - 2019 assessment notices
2019/2020 User Funding Assessment Letters and Methodology
Addendum to application for adjudication of claim to identify legal entity employing injured worker
Additional QME panel request
AME or QME declaration of service of medical - legal report
Answer to application for adjudication of claim
Application for accreditation or re-accreditation as education provider
Application for adjudication of claim
Application for adjudication of claim - Death case
Application for appointment as qualified medical evaluator
Application for discretionary payments from the uninsured employers' fund
Application for discrimination benefits pursuant to Labor Code section 132 - A
Application for Independent Medical Review

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:

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