WebDWC-4, Employer's Contest of Compensability. PDF. DWC-5, Employer Notice of No Coverage or Termination of Coverage. PDF. DWC-6, Supplemental Report of Injury. PDF. DWC-7, Employer’s Report of Noncovered Employee’s Work-Related Injury or Illness. PDF. DWC-48, Request for Travel Reimbursement. WebPrior to March 1, 2014, any version of the DWC Form RFA adopted by the Administrative Director under section 9785.5 may be used by the treating physician to request medical treatment. (2) “Completed” for the purpose of this section and for purposes of investigations and penalties, means

Get CA DWC Form RFA 2014-2024 - US Legal Forms

WebDWC Form RFA, or a request for authorization accepted as complete under section 9792.9.1(c)(2), is first received by the claims administrator, or in the case of prior … Weba written request for authorization of medical treatment for a specific course of proposed medical treatment, or a written confirmation of an oral request for a specific course of proposed medical treatment, must be set forth on the “Request for Authorization of Medical Treatment,” DWC Form RFA, contained in section 9785.5. salem cemetery winston salem nc

State of California Division of Workers’ Compensation …

WebDWC Forms Forms Forms are grouped by relevant subject, then in alphabetical order. Use the arrows to change to reverse alphabetical order or search by form number. The ten … WebNote: It is advised that the claims administrator review and familiarize themselves with the timeframes set forth in Labor Code section 4610 and California Code of Regulations, title 8, sections 9792.9 and 9792.9.1 upon receipt of a completed Form RFA. § 9785.5. Request for Authorization. 1 DWC Form RFA (Version 12/2012) WebDWC Form RFA (version 01/2014) Page 2 You might be interested in these other forms: Form Rfa 1W, Form R414, Form Reg 1, Form Request Appellate Bill of Sale Last Will and Testament About Us Privacy Policy Terms & Conditions © 2024 templatesowl.com salem cemetery crawford county arkansas