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Reset Form State of California Division of Workers' Compensation Disability Evaluation Unit REQUEST FOR SUMMARY RATING DETERMINATION of Primary Treating Physician Report Print Form DEU Use Only To

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What is dwc-ad form 102 deu?

DWC-AD form 102 DEU is a form used for reporting work-related injuries and illnesses in the state of California.

Who is required to file dwc-ad form 102 deu?

Employers in the state of California are required to file DWC-AD form 102 DEU for every work-related injury or illness.

How to fill out dwc-ad form 102 deu?

To fill out DWC-AD form 102 DEU, employers need to provide details about the injured employee, their job details, the injury or illness suffered, and other relevant information as specified in the form.

What is the purpose of dwc-ad form 102 deu?

The purpose of DWC-AD form 102 DEU is to collect information about work-related injuries and illnesses for recordkeeping and reporting purposes.

What information must be reported on dwc-ad form 102 deu?

DWC-AD form 102 DEU requires information such as the injured employee's personal details, job information, date and description of the injury or illness, medical treatment received, and other related details.

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