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Florianman kleinman

Insurance Defense at statue of liberty
Phone 8053878605 ext 2
Email flofloflo@floflo.com
Website -
Address 123 moliere avenue
thousand oaks
CA, 91360

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DWC Issues Reminder to Use Updated QME Form

Wednesday, January 27, 2016 | 1006 | 0 | 0 min read

The California Division of Workers' Compensation issued a reminder for parties to use the latest revised form when requesting a panel of qualified medical evaluators in cases involving unrepresented workers. Claims administrators are required to send the updated QME Form 105 to the injured worker when a claim is disputed or there is a dispute relating to the primary treating physician's report.  The DWC adopted regulations simplifying the form to make it easier for unrepresented injured workers to understand. The new form became mandatory for QME requests submitted on or after O...

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