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Print Form Reset Form State of California Division of Workers' Compensation Retraining and Return to Work Unit NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK FOR INJURIES OCCURRING on or after BETWEEN

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What is dwc ad 10133 3?

Dwc ad 10133 3 is a form used for reporting certain information to the Department of Workers' Compensation (DWC).

Who is required to file dwc ad 10133 3?

Employers in California who meet certain criteria are required to file dwc ad 10133 3.

How to fill out dwc ad 10133 3?

Dwc ad 10133 3 can be filled out online or manually. The form must be completed with accurate and detailed information.

What is the purpose of dwc ad 10133 3?

The purpose of dwc ad 10133 3 is to provide the DWC with necessary information about work-related injuries and illnesses.

What information must be reported on dwc ad 10133 3?

Dwc ad 10133 3 requires the reporting of specific details about the injured worker, their employer, and the incident or illness.

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