Claim and Court Forms

Addendum to Application for Adjudication of Claim to Identify Legal Entity Employing Injured Worker - WCAB 2

Answer to application for adjudication of claim - WCAB 10

Application for adjudication of claim - Death case - DIA 2

Application for Benefits for Serious and Willful Misconduct of Employer

Application for Discrimination Benefits Pursuant to Labor Code Section 132 - A

Document cover sheet - DWC-CA 10232.1

Pre-trial conference statement - WCAB 24

Special Notice of Lawsuit

Verification

Verification - Petition for Commutation of Future Payments

Verification - Petition to Reopen