California Regulations 10161

• Amendment of section; Repealer 11-08; effective 11-17-2008.

(a) Employee's Disability Questionnaire (DWC AD Form 100 (DEU)).

[Insert New Form]

(b) Request for Summary Determination of Qualified Medical Evaluator's Report (DWC AD Form 101 (DEU)).

[Insert New Form]

(c) Request for Summary Determination of Primary Treating Physician's Report (DWC AD Form 102 (DEU)).

[Insert New Form]

Authority cited: Sections 133 and 5307.3, Labor Code.

Reference: Sections 124, 4061, 4062, 4062.01, 4062.1, 4062.2, 4062.5, 4064, 4067, 4660, 4662, 4663 and 4664, Labor Code.