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STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF WORKERS COMPENSATION-MEDICAL UNIT P. O. Box 71010 Oakland, CA 94612 (510) 286-3700 or (800) 794-6900 TO: THE INJURED WORKER The list

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What is division of workers compensation-medical?

Division of workers compensation-medical refers to a form or document that is used to report medical expenses related to workers' compensation claims.

Who is required to file division of workers compensation-medical?

The employer or their insurance carrier is generally responsible for filing the division of workers compensation-medical form.

How to fill out division of workers compensation-medical?

To fill out the division of workers compensation-medical form, you need to provide information about the injured worker, details of the injury or illness, medical treatment received, and itemized medical expenses.

What is the purpose of division of workers compensation-medical?

The purpose of the division of workers compensation-medical is to ensure accurate reporting of medical expenses related to workers' compensation claims, and to facilitate the processing of these claims.

What information must be reported on division of workers compensation-medical?

The division of workers compensation-medical form typically requires reporting of the injured worker's personal information, details of the injury or illness, medical treatment received, and itemized medical expenses.

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