The California Division of Workers’ Compensation on Wednesday posted four forms that were updated to allow parties to identify injuries relating to COVID-19.
Updated forms include a new body part code for COVID-19 claims that should be used in addition to those that indicate specific body parts or functions that were injured. The body part code for COVID-19 claims is 900.
The updated forms are:
Document cover sheet, DWC Form 10232.1.
Application for adjudication of claim, DWC/WCAB Form 1A.
Compromise and release, DWC Form 10241(c).
Stipulation with request for award for injury on...
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