Regulations
| 10133.14....Form RU-103 Request for Dispute Resolution and Form Filing Instructions. (Repealed) | |
| Note: Authority cited: Sections 133, 139. 5 and 5307. 3, Labor Code. Reference: Section 139. 5, Labor Code;Godinez v. Buffets, Inc. (2004, Significant Panel Decision) ...more | |
| 10133.15....Form RB-105 Request for Conclusion of Rehabilitation Benefits and Form Filing Instructions. [Repealed] | |
| Note: Authority cited: Sections 133, 139. 5 and 5307. 3, Labor Code. Reference: Sections 4637, 4643 and 4644, Labor Code. New section and new Form RB-105 and form filing ...more | |
| 10133.16....Form RU-105 Notice of Termination of Vocational Rehabilitation Services and Form Filing Instructions. [Repealed] | |
| Note: Authority cited: Sections 133, 139. 5 and 5307. 3, Labor Code. Reference: Section 139. 5, Labor Code;Godinez v. Buffets, Inc. (2004, Significant Panel Decision) ...more | |
| 10133.18....Form RU-107 "Employee Statement of Declination of Vocational Rehabilitation Services" and Form Filing Instructions. [Repealed] | |
| Â Note: Authority cited: Sections 133, 139. 5 and 5307. 3, Labor Code. Reference: Sections 4641 and 4644, Labor Code. Â HISTORY Â . New section and new Form ...more | |
| 10133.19....Form RU-107A "Statement of Declination of Vocational Rehabilitation Services" and Form Filing Instructions. [Repealed] | |
| Note: Authority cited: Sections 133, 139. 5 and 5307. 3, Labor Code. Reference: Sections 4641 and 4644, Labor Code. HISTORY . New section, relocation and amendment of ...more | |
| 10133.20....Form RU-120 "Initial Evaluation Summary" and Form Filing Instructions. [Repealed] | |
| Note: Authority cited: Sections 133, 138. 4, 139. 5 and 5307. 3, Labor Code. Reference: Section 139. 5, Labor Code. HISTORY Â . New section, relocation and amendment ...more | |
| 10133.22....Form RU-122 "Settlement of Prospective Vocational Rehabilitation Services" and Form Filing Instructions. [Repealed] | |
| Note: Authority cited: Sections 133, 139. 5 and 5307. 3, Labor Code. Reference: Section 139. 5, Labor Code;Godinez v. Buffets, Inc. (2004, Significant Panel Decision) ...more | |
| 10133.32....Form [DWC-AD 10133.32 âSupplemental Job Displacement Nontransferable Voucher For Injuries Occurring on or After 1/1/13.â] | |
| Supplemental Job Displacement Nontransferable Voucher For Injuries Occurring on or After 1/1/13Â Note: Authority cited: Sections 133, 4658. 1, 4658. 7 and 5307. 3, ...more | |
| 10133.35....Form [DWC-AD 10133.35 âNotice of Offer of Regular, Modified, or Alternative Work For injuries Occurring on or After 1/1/13.â] | |
| This form may be produced without a logo and may be produced on the claim's administrator's letterhead. New section filed 12-20-2012 as an emergency; operative 1-1-2013 ...more | |
| 10133.55....Form [DWC-AD 10133.55 "Request for Dispute Resolution Before the Administrative Director."] | |
| Request for Dispute Resolution Before the Administrative Director (Form DWC-AD 10133. 55) Note: Authority cited: Sections 133, 4658. 5 and 5307. 3, Labor Code. ...more | |
