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

41 - 60 of 136 forms

Form Title Topics
Doctor's first report of occupational injury or illness
Employee's permanent disability questionnaire
Employer's report of occupational injury or illness
Faculty disclosure of commercial interest
Fiscal Year 2020-2021 Assessments
Group self-insurers roster
Independent medical review application
Informational Bulletin: Cash in Trust
Informational Bulletin: Self-Insurance Actuarial Data Analysis – 2013
Information bulletin: Approved securities
Information bulletin: Letter of credit
Information bulletin: Surety bond
Information guidelines for submission of settlement documents
Joint powers authority (JPA) public list
Labor Code §§ 4800 and 4850 Reporting Requirements
Lien conference disposition
Lien filing fees refund request
Lista de códigos de las partes del cuerpo
Medical mileage expense form
Medical Provider Network

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:
  • WCABWritUnit@dir.ca.gov.

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