Dwc ad form 10133.35
WebForm [DWC-AD "Notice of Potential Right to Supplemental Job Displacement Benefit Form."] § 10133.53. Form [DWC-AD 10133.53 "Notice of Offer of Modified or Alternative Work for ... 1/1/04 – 12/31/12 or Form 10133.35 Notice of Offer of Regular, Modified, or Alternative Work for Injuries Occurring on or after 1/1/13. (kl) "Parties" means the ... WebNOTICE OF OFFER OF REGULAR, MODIFIED, OR ALTERNATIVE WORK FOR INJURIES OCCURRING ON OR AFTER 1/1/13 DWC - AD 10133.35: Form # DWC-AD form 10133.35 (SJDB) Form Revision: EFF: 1/1/14: Category: Forms » Return To Work/Voc Rehab: Downloads: Form State: California: Language: English: State …
Dwc ad form 10133.35
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WebCal. Code Regs. Tit. 8, § 10133.35 - Form [DWC-AD 10133.35 "Notice of Offer of Regular, Modified, or Alternative Work For injuries occurring on or after 1/1/13."] State Regulations … WebDec 31, 2024 · My doctor scheduled me to speak with a surgeon next month to discuss operating. Then yesterday I received this DWC-AD 10133.35 form telling me about an …
WebForm DWC-AD 10133.57 – Mandatory Form; Supplemental Job Displacement Nontransferable Training Voucher Form Download Form If an injured worker is not … WebDWC-AD form 10133.35 (SJDB) Jan 1, 2013 - Page 2 of 4 Draft 1. Yes. No Wages: $ Yes. No Actual job title: Yes. No Work location: Duties required of the position: Description of activities to be performed (if not stated in job description): Yes. No Per hour. Week. Month Position is for a different shift Same as Pre-Injury Position
WebMar 24, 2024 · Section 10133.35 - Form [DWC-AD 10133.35 "Notice of Offer of Regular, Modified, or Alternative Work For injuries occurring on or after 1/1/13."] This form may … WebForm [DWC-AD 10133.35 “Notice of Offer of Work for Injuries Occurring On or After 1/1/13.”] §10133.36. Form [DWC-AD 10133.36 “Physician’s Return-to-Work & Voucher Report.”] § 10133.51. Notice of Potential Right to Supplemental Job Displacement Benefit. § 10133.52. Form [DWC-AD "Notice of Potential Right to Supplemental Job Displacement
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WebYour primary treating physician or another physician who makes this determination must complete and send the claims administrator a report of your permanent and stationary status and work capacity on DWC-AD form 10133.36. The offer must be for a job that you are able to perform. In addition, the job must: philosopher\u0027s 80Webdescription of employee's job duties dwc - ad 10133.33: dwc ad 10133.33 (sjdb) eff: 1/1/14: notice of offer of regular, modified, or alternative work for injuries occurring on or after 1/1/13 dwc - ad 10133.35: dwc-ad form 10133.35 (sjdb) eff: 1/1/14: physician's return-to-work & voucher report - for injuries occurring on or after 1/1/13 philosopher\\u0027s 8Webdwc-ad 10133.33 description of employee's job duties dwc-ad 10133.35 notice of offer of reg mod or alternative work dwc-ad 10133.36 physician's return-to-work & voucher report … tshepo themba gynaecologist feesWebSection 10133.35 - Form [DWC-AD 10133.35 "Notice of Offer of Regular, Modified, or Alternative Work For injuries occurring on or after 1/1/13."] Universal Citation: 8 CA Code … philosopher\\u0027s 82WebCalifornia Code of Regulations, Title 8 - Industrial Relations, Division 1 - Department of Industrial Relations, Chapter 4.5 - Division of Workers' Compensation, Subchapter 1.5 - Injuries on or After January 1, 1990, Article 7.5 - Supplemental Job Displacement Benefit, Section 10133.35 - Form [DWC-AD 10133.35 "Notice of Offer of Regular, Modified, or … tshepo thusi attorneysWebSection 10133.55 Form [DWC-AD 10133.55 “DWC-AD 10133.55 “Request for Dispute Resolution Before the Administrative Director.”] Section 10133.57 Supplemental Job Displacement Nontransferable Training Voucher Form for Injuries Occurring Between 1/1/04 – 12/31/12. Section 10133.58 State Approved or Accredited Schools. philosopher\\u0027s 80WebNotice of Offer of Regular Modified or Alternative Work for Injuries Occurring on or After 1-1-13 (DWC-AD 10133.35) - HRCalifornia Notice of Offer of Regular Modified or Alternative Work for Injuries Occurring on or After 1-1-13 (DWC-AD 10133.35) Free Use this form in making a return-to-work offer. philosopher\\u0027s 81