| History:
The Request for Summary Rating Determination, the Employee's Permanent Disability Questionnaire, and the Request for Summary Rating Determination of the primary treating physician may be reproduced by automated office equipment or other means as long as the printed content and layout of the form are is identical to the specified 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.
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