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STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS Division of Workers Compensation NOTICE OF MODIFICATION TO TEXT OF PROPOSED REGULATIONS Subject of Regulations: Workers Compensation Supplemental
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What is sjdb 15 day notice?
The sjdb 15 day notice is a form that informs the employee about their eligibility to receive a voucher for supplemental job displacement benefits (SJDB) due to a work-related injury or illness.
Who is required to file sjdb 15 day notice?
The employer is required to provide the sjdb 15 day notice to the injured employee within 15 days of receiving a medical report indicating the employee may have a permanent disability.
How to fill out sjdb 15 day notice?
To fill out the sjdb 15 day notice, the employer must include the employee's name, contact information, and the date of injury. They should also attach a copy of the medical report and explain the process for obtaining the SJDB voucher.
What is the purpose of sjdb 15 day notice?
The purpose of the sjdb 15 day notice is to inform the employee about their potential eligibility for SJDB benefits, which can help them with job retraining, education, or other related expenses.
What information must be reported on sjdb 15 day notice?
The sjdb 15 day notice should include the employee's name, contact information, date of injury, a copy of the medical report, and information about the available SJDB benefits and how to apply for them.
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