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					THE INJURED WORKER
 Rights to Workers’ Compensation Benefits and How to Obtain Them

                                         What Is Workers’ Compensation?
                                            If you get an injury or illness on the job, your employer is required by
                                         law to provide workers’ compensation benefits. You could get hurt by:

 Department of Industrial Relations
                                         • One event at work. Examples: hurting your back in a fall, getting burned
 Division of Workers’ Compensation
                                           by a chemical that splashes on your skin, getting hurt in a car accident
The information in this pamphlet is        while making deliveries. It may include injuries, including psychiatric
true in most situations. However           injuries, resulting from a workplace crime.
some rules, exceptions, and deadlines
                                           -or-
not covered here may apply to you
and affect your case. To learn more,     • Repeated exposures at work. Examples: hurting your wrist from doing
see the factsheet For More Informa-
                                           the same motion over and over, losing your hearing because of constant
tion. The information here describes
                                           loud noise.
the California workers’ compensation
system as of January 1998. It applies
to most private, state, and local
government employees whose ìdate of      What Are The Benefits?
injuryî is 1994 or later.
                                           Workers’ compensation benefits           three days, or you are hospital-
ANY PERSON WHO MAKES OR                  can include:                               ized overnight. Payments must
CAUSES TO BE MADE ANY                                                               be made every two weeks, for as
                                           Medical Care. Paid by your
KNOWINGLY FALSE OR FRAUDU-                                                          long as you are eligible.
                                           employer, to help you recover
LENT MATERIAL STATEMENT OR
MATERIAL REPRESENTATION                    from an injury or illness caused         Permanent Disability Ben-
FOR THE PURPOSE OF OBTAIN-                 by work. You should never                efits. Payments if your treating
ING OR DENYING WORKERS’                    receive a medical bill.                  doctor says you will never re-
COMPENSATION BENEFITS OR                                                            cover completely and will always
PAYMENTS IS GUILTY OF A                    Temporary Disability Benefits.
                                                                                    be somewhat limited in your
FELONY.                                    Payments if you lose wages
                                                                                    ability to work. These payments
                                           because you can’t do your usual
This pamphlet has been approved by
                                                                                    are limited, and may not cover
                                           job while recovering. As a general
the Administrative Director of the                                                  all your lost income. The number
                                           rule, you are paid two-thirds of
Division of Workers’ Compensation                                                   of weekly payments you will
                                           the gross (pre-tax) wages you
and complies with the requirements                                                  receive is determined by a per-
of Labor Code ß138.4, ß139.6,              lose after your third day off work
                                                                                    manent disability rating, based
ß3553, and ß5401 and Title 8,              while recovering from an injury.
                                                                                    on (a) your medical condition,
California Code of Regulations ß9880       However, you cannot receive
                                                                                    (b) your date of injury, (c) your
and ß9882. It is based, in large part,     more than the maximum weekly
on work performed by the Labor                                                      age when injured, and (d) your
                                           amount set by law. (See Table on
Occupational Health Program,                                                        occupation. Permanent disability
                                           page 5 for maximum benefit
University of California at                                                         benefit amounts are set by law.
Berkeley, under contract
                                           rates.) These temporary disability
                                                                                    (See Table on page 5 for maxi-
with the Commission                        payments begin when your
                                                                                    mum benefit rates.) After the first
on Health & Safety and                     treating doctor says you can’t do
Workers’ Compensa-                         your usual work for more than                        What are the Benefits
tion.                                                                                             continued on page 2
What are the Benefits                                                          More About
continued from page 1
                                                                               Medical Care
  payment, permanent disability          payments are made every 14
                                                                                  Can I choose the doctor who will
  benefits must be paid every 14         days for as long as your are
                                                                               treat me? It depends. If you want to
  days. They end when you reach          eligible. For injuries occurring on
                                                                               choose the doctor who will treat
  the maximum amount allowed             or after January 1, 1994, there is
                                                                               you for a job injury or illness, you
  by law or when you settle your         a $16,000 limit on all rehabilita-
                                                                               must tell your employer the name
  case and receive a lump sum.           tion benefits. (See Table on page
                                                                               and address of your personal
                                         5 for maximum benefit rates.)
  Vocational Rehabilitation. Job                                               physician before you are injured or
  placement counseling and                                                     become ill. You must do it in writ-
                                         Death Benefits. Payments to
  possibly retraining, if you are                                              ing. This is called predesignating
                                         the spouse, children, or other
  unable to return to your old job                                             your personal physician. If you
                                         dependents of a worker who dies
  and your employer doesn’t offer                                              predesignate you will be allowed to
                                         from a job injury or illness. (See
  other work. Vocational rehabili-                                             see your personal physician right
                                         table on page 5 for maximum
  tation maintenance allowance                                                 after you are injured or become ill.
                                         benefit rates) Death benefits
  benefits provide income support                                              You may switch doctors later, if
                                         must be paid every 14 days. A
  while you are participating in                                               necessary. If you don’t predesignate
                                         burial allowance is also paid.
  vocational rehabilitation. These                                             your employer usually will have the
                                                                               right to choose the doctor who



  What Should I Do If Hurt On The Job?
    If you are hurt on the job, you should:

  • Report The Injury To Your Employer. Tell your supervisor right away. If your injury or illness devel-
    oped gradually (like tendinitis or hearing loss), report it as soon as you learn it was caused by your job.
    Reporting promptly helps prevent problems and delays in receiving benefits, including medical care you
    may need to avoid further injury. If your employer does not learn of your injury within 30 days, you could
    lose your right to receive workers’ compensation benefits.

  • Get Emergency Treatment If Needed. If it’s a medical emergency, go to an emergency room right away.
    Your employer may tell you where to go for treatment. Tell the health care provider who treats you that
    your injury or illness is job related.

  • Fill Out A Claim Form. Your employer must give you a claim form within one working day after learning
    about your injury or illness. You use it to request workers’ compensation benefits. Fill out and sign the
    employee portion of the claim form. Describe your injury completely. Include every part of your body
    affected by the injury. Give the form to your employer, which is called filing the claim form.

  • Get Good Medical Care. Get good medical care to help you recover. You should be treated by a doctor
    who understands your particular type of injury or illness. Tell the doctor about your symptoms and the
    events at work that you believe caused them. Also, describe your job and your work environment.

  • What Happens After I File The Claim Form? Your employer must fill out and sign the ìemployerî
    portion of the claim form and give the completed form to a claims administrator. (This person handles
    claims for your employer and usually works for your employer’s insurance company.) Your employer must
    give you a copy of the completed form within one working day after you filed it. Keep this copy. The
    claims administrator usually must decide within 90 days whether to accept or deny your claim.


Page 2                                                                                   The Injured Worker
treats you during the first 30 days      • Why is the choice of doctor             gather information to support
after your employer learns about           important? Your treating doctor         your claim, keep track of dead-
your injury or illness.                    will:                                   lines, and represent you in
                                         1) Decide what type of medical            hearings before a Referee (work-
   How do I predesignate? You                                                      ers’ compensation judge) of the
                                           care you’ll get.
can predesignate a doctor of medi-                                                 Workers’ Compensation Appeals
cine (M.D.) or doctor of osteopathy      2) Help identify the kinds of work        Board. Most attorneys offer one
(D.O.) who treated you in the past         you can do safely while recover-        free consultation. If you hire an
and has your medical records. Or           ing.                                    attorney, the attorney’s fees will
you can predesignate the office,                                                   be be taken out of benefits that
                                         3) Determine when you can return
clinic or hospital where the doctor                                                you receive later. A Referee must
                                            to work.
treated you. (If you give your                                                     approve the fee.
employer the name of your personal       4) Write medical reports that will
chiropractor in writing before you          affect the benefits you receive.        If you have a serious dispute
are injured, you may switch to this                                              that may require a decision by a
chiropractor upon request during
                                         What Should I Do If                     workers’ compensation referee
the first 30 days.)                      There is a Dispute?                     (workers’ compensation judge), an
                                                                                 Application for Adjudication must
                                            If you have a concern, speak up.
   Notify your employer in                                                       be timely filed, normally within one
                                         See whether your employer or
writing. Your employer may give                                                  year from the date of your injury or
                                         claims administrator can agree to
you a form to use. Make sure to                                                  the last date you were paid benefits.
                                         resolve the problem. If this doesn’t
include the following information:       work, don’t delay getting help. Try     What Other
1) Name of your employer.                the following:                          Rights Do I Have?
2) Statement that if you are injured     • Contact an Information & Assis-
                                                                                    It is illegal for your employer to
  or become ill on the job, you            tance officer. State I & A officers
                                                                                 punish or fire you for having a job
  designate your personal physi-           answer questions and help
                                                                                 injury, or for filing a workers’ com-
  cian or personal physician’s             injured workers. They may
                                                                                 pensation claim when hurt on the
  medical facility to provide medi-        provide information and provide
                                                                                 job. The California Labor Code
  cal care. Give the name, address,        forms and help resolve problems
                                                                                 (section 132a) prohibits this kind of
  and phone number.                        with your claim. They hold
                                                                                 discrimination.
                                           workshops for injured workers.
3) Your name.                              To contact or find a local office,       It’s also illegal for your employer
4) Your signature.                         check the Government Pages at         to discriminate against you because
                                           the front of the white pages of       of a serious disability. The federal
5) Date.                                   your phone book. Look under:          Americans with Disabilities Act
   Exceptions: Some employers              State Government Offices/             (ADA) and the California Fair
have contracts with state-certified        Industrial Relations/Workers’         Employment and Housing Act
health care organizations (HCOs) to        Compensation.                         (FEHA) prohibit this. More informa-
treat workers hurt on the job. If                                                tion about ADA is available by
                                         • Consult an Attorney. Lawyers
your employer has this kind of                                                   calling the Equal Employment
                                           who specialize in helping injured
contract, there are different rules on                                           Opportunity Commission at 800-
                                           workers with their workers’
choosing medical care. Your em-                                                  669-3362. Information about the
                                           compensation claims are called
ployer must give you written infor-                                              state FEHA is available by calling
                                           applicants’ attorneys. Their job is
mation about those rules.                                                        800-884-1684.
                                           to plan a strategy for your case,



The Injured Worker                                                                                            Page 3
   Workers’ Compensation Maximum Benefits
   FOR DATES OF INJURY ON OR AFTER:                      7/1/94             7/1/95             7/1/96

   MAXIMUM WEEKLY
   TEMPORARY DISABILITY PAYMENT:                        $406.00             $448.00            $490.00

   MAXIMUM WEEKLY
   PERMANENT DISABILITY PAYMENT:

   0 -14 3/4%                                           $140.00             $140.00            $140.00

   15 - 24 3/4%                                         $148.00             $154.00            $160.00

   25 - 69 3/4%                                         $158.00             $164.00            $170.00

   70 - 99 3/4%                                         $168.00             $198.00            $230.00

   100%                                                 $406.00             $448.00            $490.00

   MAXIMUM WEEKLY
   VOCATIONAL REHABILITATION
   MAINTENANCE ALLOWANCE:                               $246.00             $246.00            $246.00

   MAXIMUM WEEKLY
   DEATH BENEFIT PAYMENT:                               $406.00             $448.00            $490.00

   MAXIMUM AGGREGATE DEATH BENEFITS*

   Single Dependents                               $115,000.00         $115,000.00         $125,000.00

   Two Dependents                                  $115,000.00         $135,000.00         $145,000.00

   Three or More Dependents                        $150,000.00         $150,000.00         $160,000.00

   BURIAL EXPENSES PAID TO A MAXIMUM OF $5,000

   *Benefits paid to a totally dependent minor will be continued until the age of 18 regardless of the
   maximum benefit.




Page 4                                                                               The Injured Worker
DWC PUBLICATIONS AND FACTSHEETS
   Go to DWC’s web site HYPERLINK http://www.dir.ca.gov
   www.dir.ca.gov and link to DWC or Commission on Health & Safety & Workers’ Compensation.
   Call 1-800-736-7401 and leave a voice form message.
   Write DWC at P. O. Box 420603, San Francisco, CA 94142 and specify the publication you would like to
receive.
   Call the local DWC office found in the white pages under State Government/Industrial Relations/Workers’
Compensation.

Factsheets                                                                                                                                       What Every Worker                  FACTSHEET #1
                                                                                                                                                                                                                                                                                                    California
                                                                                                                                                                                                                                                                                                    Workers’
                                                                                                                                                                                                                                                                                                  Compensation



                                                                                                                                                  Should Know (#1)                      What Every Worker Should Know
                                                                                                                                                                                    What is workers’ compensation?



                                                                                                                                                       (Workers’compensation        If you get hurt on the job, your employer
                                                                                                                                                                                    is required by law to provide workers’
                                                                                                                                                                                    compensation benefits. You could get
                                                                                                                                                                                    hurt by:

                                                                                                    California                                                                      •   One event at work. Examples:
        FACTSHEET #2

                                                                                                                                                         benefits and choosing
                                                                                                    Workers’                                                                            hurting your back in a fall, getting
                                                                                                                                                                                        burned by a chemical that splashes on
                                                                                                  Compensation                                                                          your skin, getting hurt in a car
                                                                                                                                                                                        accident while making deliveries.
                                                                                                                                                                                        —or—
        Af ter You Get Hur t on the Job                                                                                                                                             •   Repeated exposures at work.
                                                                                                                                                                                                                                                            What are the benefits?


                      Report the injury to
                      your employer
                                                                                    Get emergency treatment
                                                                                    if needed
                                                                                                                                                 a doctor in case you are hurt.)        Examples: hurting your wrist from
                                                                                                                                                                                        doing the same motion over and over,
                                                                                                                                                                                        losing your hearing because of
                                                                                                                                                                                        constant loud noise.
                                                                                                                                                                                                                                                            They can include:

                                                                                                                                                                                                                                                            Medical Care. Paid for by your employer,
                                                                                                                                                                                                                                                            to help you recover from an injury or
                                                                                                                                                                                                                                                            illness caused by work.
        Tell your supervisor right away. If your                          If it’s a medical emergency, go to an
        injury or illness developed gradually (like                       emergency room right away. Your                                                                                                                                                   Temporary Disability Benefits. Payments
        tendinitis or hearing loss), report it as                         employer may tell you where to go for                                                                                                                                             if you lose wages because you can’t do
        soon as you learn it was caused by your                           treatment. Tell the health care provider                                                                                                                                          your usual job while recovering.
        job. Reporting promptly helps prevent                             who treats you that your injury or illness
        problems and delays in receiving benefits,                        is job-related.                                                                                                                                                                   Permanent Disability Benefits. Payments
        including medical care you may need to                                                                                                                                                                                                              if you can’t recover completely and will




                                                                                                                           After You Get
        avoid further injury.                                                       Fill out a claim form and                                                                                                                                               always be somewhat limited in your
                                                                                                                                                                                                                                                            ability to work.
                                                                                    give it to your employer
                                                                          Your employer must give you a claim                                                                                                                                               Vocational Rehabilitation. Job placement
                                                                                                                                                                                                                                                            counseling and possibly retraining, if you
                                                                          form within one working day after
                                                                                                                                                                                                                                                            are unable to return to your old job and
                                                                          learning about your injury or illness.
                                                                                                                                                                                                                                                            your employer doesn’t offer other work.
                                                                          You use it to request workers’




                                                                                                                           Hurt on the Job (#2)
                                                                          compensation benefits.                                                                                                                                                            Death Benefits. Payments to the spouse,
                                                                                                                                                                                                                                                            children, or other dependents of a worker
                                                                          Fill out and sign the “employee” portion                                                                                                                                          who dies from a job injury or illness.
                                                                          of the claim form. Describe your injury
                                                                          completely. Include every part of your                                                                                                                                                                                                       1
                                                                          body affected by the injury. Give the
                                                                          form to your employer, which is called
                                                                          filing the claim form. Do this right
                                                                          away to avoid possible problems with
                                                                          your claim.
                                                                                                                           (Steps to take, getting appropriate
                                                                                    Get good medical care

          Inside:
          Your claim form .......................... 2,5
          Getting medical care ................... 2-4
                                                                          Get good medical care to help you
                                                                          recover. You should be treated by a
                                                                          doctor who understands your particular
                                                                          type of injury or illness. Tell the doctor
                                                                          about your symptoms and the events at
                                                                                                                           medical care, working while recovering,
          Working while recovering .......... 4-5
                                                                          work that you believe caused them. Also


                                                                                                                           other financial help, and job discrimination.)
          Other financial help ..................... 5
          Facts about discrimination .......... 5                         describe your job and your work
                                                                          environment.

        After You Get Hurt on the Jo b                                                                                 1




                                                                                                                                               Temporary Disability                 FACTSHEET #3A
                                                                                                                                                                                                                                                                                                 California
                                                                                                                                                                                                                                                                                                 Workers’
                                                                                                                                                                                                                                                                                               Compensation




                                                                                                    California
                                                                                                                                                    Benefits (#3A)                  Temporary Disability Benef its
                                                                                                                                                                                    If you get hurt on the job and can’t do
        FACTSHEET #3B


                                                                                                                                                       (Benefits while you are
                                                                                                    Workers’                                                                        your usual work for a while, you may
                                                                                                                                                                                    be eligible for temporary disability
                                                                                                  Compensation                                                                      (TD) benefits.                                                              Inside:
                                                                                                                                                                                                                                                                Two types of TD ............................. 2
                                                                                                                                                                                    TD benefits are payments you receive
                                                                                                                                                                                    if you lose wages because:                                                  Payment amounts ......................... 2

        Permanent Disability Benef its                                                                                                                                                                                                                          Payments begin ............................. 4-5




        Most workers recover from their
        job injuries. But some continue to
                                                                                                                                        recovering from a job injury or illness.)   •   Your treating doctor says you can’t
                                                                                                                                                                                        do your usual work for more than
                                                                                                                                                                                        three days, or you are hospitalized
                                                                                                                                                                                        overnight.
                                                                                                                                                                                                                                                                Payments end ................................ 5




        have medical problems. If your                                                                                                                                                  —and—
        treating doctor says you will never
        recover completely and will always                                                                                                                                          •   Your employer does not offer you
        be somewhat limited in your ability                                                                                                                                             other work that pays your usual
        to work, you have a permanent                                                                                                                                                   wages while you recover.
        disability. This means you are
        probably eligible for permanent




                                                                                                                           Permanent
        disability (PD) benefits.

        PD benefits are payments that help
        make up for limitations in your
        ability to work in the future.
        However, you don’t have to lose
        your current job to be eligible for
                                                                             Other Benefits Besides PD


                                                                                                                           Disability Benefits (#3B)
        PD benefits.

        PD benefits are limited. If you lose                                 If you are permanently disabled, you
        income, PD benefits may not cover                                    may also be eligible to receive:
        all the income lost. If you
        experience loses unrelated to your                                   •   Medical care for your injury,
        ability to work, PD benefits will                                        described later in this factsheet.
        not cover those losses.



                                                                                                                           (Medical reports, ratings,
                                                                             •   Vocational rehabilitation
                                                                                 services to help you find another
                                                                                 job. To find out about these
                                                                                 services, get the factsheet “For
                                                                                 More Information” (listed on                                                                       Temporary   Disability    Benefits                                                                                             1
                                                                                 page 8).



                                                                                                                           payments, and settlements.)
          Inside:
                                                                             •   Other financial help, such
          Medical reports ........................... 2-3
                                                                                 as Social Security Disability
          Ratings ........................................ 3-4
                                                                                 Insurance and benefits offered
          PD payments ............................... 5-6
                                                                                 by some employers and unions.
          Settlement ................................... 6
                                                                                 To find out about these benefits,
                                                                                 get the factsheet “For More
                                                                                 Information” (listed on page 8).

        Permanent          Disability        Benefits                                                                  1




                                                                                                                                      For More Information (#4)                     FACTSHEET #4
                                                                                                                                                                                                                                                                                                       California
                                                                                                                                                                                                                                                                                                       Workers’
                                                                                                                                                                                                                                                                                                     Compensation



                                                                                                                                                  (Written materials, places to                     For More Information
                                                                                                                                                                                                       Your Employer ................................................................................ 1
                                                                                                                                                                                                       The Claims Administrator .............................................................. 1




                                                                                                                                                    seek help with your claim,
                                                                                                                                                                                                       State Division of Workers’ Compensation .................................... 1
                                                                                                                                                                                                       State Industrial Medical Council ................................................... 2
                                                                                                                                                                                                       Applicants’ Attorneys .................................................................... 2

                                                                                                    California                                                                                         Your Treating Doctor ...................................................................... 2
        FACTSHEET FOR YOUNG WORKERS                                                                                                                                                                    Your Union ...................................................................................... 2
                                                                                                    Workers’                                                                                           Occupational Health Clinics .......................................................... 2




                                                                                                                                                and other types of assistance.)
                                                                                                  Compensation                                                                                         Injured Worker Support Groups .................................................... 2
                                                                                                                                                                                                       Health & Safety Agencies and Organizations ............................... 2
                                                                                                                                                                                                       Other State and Federal Agencies ................................................. 3
                     Hur t on the Job?                                                                                                                                                                 Books and Other Materials ............................................................ 3
                                                                                                                                                                                                       Questions & Answers About Attorneys ........................................ 5

                Information Aler t for Teens                                                                                                                                                           Questions & Answers About State I&A Services ......................... 6



           Every year, 70 workers under 18 die from job injuries in the U.S. and another 70,000
           get hurt badly enough to go to a hospital emergency room. This is true even though                                                                                       s Your Employer. Your employer is                                         s State Division of Workers’
           child labor laws say employers can’t give workers under 18 the most dangerous jobs.                                                                                          required to post information and give                                   Compensation. DWC administers
                                                                                                                                                                                        you written materials that explain                                          workers’ compensation laws and
           If you get hurt on the job, your                                                                                                                                             workers’ compensation. If you have                                          provides information and help to
           employer is required by law to provide                                                                                                                                       questions, you can contact your                                             injured workers. Check the
           workers’ compensation benefits.                                                                                                                                              supervisor, someone else in                                                 Government Pages at the front of the
           These include:                                                                                                                                                               management, or your employer’s                                              white pages of your phone book. Look
                                                                                                                                                                                        personnel or benefits department.                                           under: State Government Offices/
           •    Medical care for your injury,
                                                                                                                                                                                                                                                                    Industrial Relations. See also the
                whether or not you miss time
                                                                                                                                                                                                                                                                    Department of Industrial Relations Web
                from work.                                                                                                                                                          s The Claims Administrator. This                                                site: www.dir.ca.gov.
                                                                                                                                                                                        person handles workers’ compensation
           •    Payments if you lose wages for                                                                                                                                          claims for your employer and usually                                        Information & Assistance. I&A
                more than 3 days or if you are                                                                                                                                          works for the employer’s insurance                                          officers answer questions and help
                hospitalized overnight.                                                                                                                                                 company. The claims administrator is                                        injured workers resolve problems with




                                                                                                                           Hurt on the Job?
                                                                                                                                                                                        required to send you written                                                their claims. Their services are free.
           •    Other benefits if you become                                                                                                                                            information about your claim and may                                        For more information, see “Questions
                permanently disabled.                                                                                                                                                   answer questions. If you can’t reach                                        and Answers About State Information
                                                                                                                                                                                        the claims administrator, ask to speak                                      & Assistance Services” on page 6. For
                                                                                                                                                                                        with his or her supervisor.                                                 phone numbers, see page 7.
                                                                 Did You Know?




                                                                                                                           Information Alert for Teens
                x You can receive benefits                               x It’s illegal for your employer                                                                                                                                                                                                                  1
                                                                           to punish or fire you:
                      •    even if you are under 18.
                                                                            •    for having a job injury; or
                      •    even if you are a temporary
                           or part-time worker, no matter                   •    for requesting benefits
                           how long you have had your job.                       when hurt on the job.

                x You receive benefits no                                x You can’t sue your employer
                  matter who was at fault for
                  your job injury.

                x You don’t have to be a U.S.
                  citizen to receive workers’
                                                                           for a job injury (in most cases).

                                                                         x You can see your own doctor
                                                                           if you give your employer the
                                                                           doctor’s name and address
                                                                                                                           (Factsheet for young workers.)
                                                                                                                           Injured Worker Guides:
                  compensation benefits.                                   before you are injured.

                                                                                                           OVER   §




The Injured Worker                                                                                                                                                                                                                                                                                                             Page 5
These guides contain short instructions on
how to complete a step in your claim.
Guide 01
t How to File a Claim Form            t How to File a Declaration of      t How to File a Petition to Reopen
                                      Readiness to Proceed
Guide 02                                                                  Guide 13
t How to Dismiss Your Attorney        Guide 08                            t How to Object to Your Summary
                                      t How to File a Rehabilitation      Rating
Guide 03
                                      Appeal
t How to File a Complaint with the                                        Guide 14
Audit Unit                            Guide 09                            t How to File a Lien
                                      t How to File a Serious & Willful
Guide 04
                                      Misconduct Petition
                                                                          Other Publications:
t How to Request a Qualified
Medical Evaluation                    Guide 10                            t Help in Returning to Work 1994
                                      t How to File an Application for    ñ a guide to vocational rehabilita-
Guide 05                                                                  tion
                                      Adjudication of Claim
t How to File a Petition for Com-
mutation                              Guide 11                            t Your Medical Evaluation
                                      t How to File a Petition for Dis-   (produced by Industrial Medical
Guide 06                                                                  Council)
                                      crimination
t How to File a Petition for Recon-
sideration                            (Labor Code 132a)

Guide 07                              Guide 12




Page 6                                                                               The Injured Worker

				
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