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STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF WORKERS\' COMPENSATION MINUTES OF HEARING Case No. Date of Hearing (MM/DD/YYY)Hearing Information ATBeforeTrialConfMSCEXP. HEARINGLienRequest
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Step 1: Start by downloading the DWC-CA Form 10245 from the official website.
02
Step 2: Read the instructions provided with the form carefully to understand the requirements and guidelines.
03
Step 3: Begin filling out the form by entering your personal information, such as your name, address, contact details, and Social Security Number.
04
Step 4: Provide the necessary details about your employment, including your employer's name, address, and contact information.
05
Step 5: Specify the date of injury or illness and provide a detailed description of the incident.
06
Step 6: Fill in the medical information section, including the name of the treating physician and any prescribed medication or treatment.
07
Step 7: Attach any supporting documents, such as medical reports, witness statements, or proof of employment.
08
Step 8: Review the completed form for accuracy and completeness.
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Step 9: Sign and date the form where indicated.
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Step 10: Submit the filled-out DWC-CA Form 10245 according to the instructions provided.

Who needs dwc-ca form 10245?

01
DWC-CA Form 10245 is required by individuals who have suffered an injury or illness related to their employment in California.
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DWC-CA Form 10245 is a form used to report information related to workers' compensation claims.
Employers and insurance carriers are required to file DWC-CA Form 10245.
DWC-CA Form 10245 can be filled out online or manually with the required information regarding workers' compensation claims.
The purpose of DWC-CA Form 10245 is to gather and report information on workers' compensation claims for recordkeeping and compliance purposes.
Information such as claimant details, claim status, medical treatment provided, and other relevant details about workers' compensation claims must be reported on DWC-CA Form 10245.
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