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Department of Finance and Administration Legislative Impact Statement Bill: SB607 As Engrossed: 3/14/2013 Bill Subtitle: TO CREATE THE ELECTRONIC PAYMENT TRANSACTION PROTECTION ACT; TO PROHIBIT THE

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What is qme appointment notification form?

The qme appointment notification form is a form used to notify the California Division of Workers' Compensation (DWC) when a qualified medical evaluator (QME) is appointed in a workers' compensation case.

Who is required to file qme appointment notification form?

The party who initiates the appointment of a QME, typically the employer or the injured worker, is required to file the qme appointment notification form with the DWC.

How to fill out qme appointment notification form?

To fill out the qme appointment notification form, you need to provide information such as the injured worker's name, case number, the name of the QME being appointed, and the date of the appointment. The form must be completed accurately and submitted to the DWC.

What is the purpose of qme appointment notification form?

The purpose of the qme appointment notification form is to inform the DWC about the appointment of a QME in a workers' compensation case. This allows the DWC to track the assignment of QMEs and ensure the timely evaluation of injured workers.

What information must be reported on qme appointment notification form?

The qme appointment notification form requires reporting of information such as the injured worker's name, case number, the name of the QME being appointed, and the date of the appointment. Additionally, any other relevant details pertaining to the appointment may also need to be provided.

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