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B EFORETHEI OWA W WORKERS C COMPENSATION C COMMISSIONER No(s).:vs., Claimant(s),Employer, Insurance Carrier, Defendant(s)., Answer Concerning Vocational Rehabilitation Program Benefit,1. Employers
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DI 52120030 is a form used in California for reporting Disability Insurance claims.
Employees who are claiming Disability Insurance benefits are required to file the DI 52120030 form.
To fill out DI 52120030, individuals should provide their personal information, details about their disability, and any supporting documentation as required.
The purpose of DI 52120030 is to assess eligibility for Disability Insurance benefits and to document the information related to the claim.
Information required includes the claimant's personal details, nature of the disability, dates of absence from work, and any relevant medical information.
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