California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1.5 - Injuries on or After January 1, 1990
Article 9 - Claim Form: Availability, Filing, Acknowledgement of Receipt, Dismissal
Section 10139 - Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility

Universal Citation: 8 CA Code of Regs 10139
Current through Register 2024 Notice Reg. No. 38, September 20, 2024

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1. Change without regulatory effect renumbering former section 10118.1 to section 10139 filed 4-7-2008 pursuant to section 100, title 1, California Code of Regulations (Register 2008, No. 15).
2. Amendment of section and NOTE filed 8-9-2010; operative 10-8-2010 (Register 2010, No. 33).
3. Repealer and new section filed 8-24-2015; operative 1-1-2016 (Register 2015, No. 35).

Note: Authority cited: Sections 133, 5307.3 and 5401, Labor Code. Reference: Sections 132(a), 139.48, 139.6, 4600, 4600.3, 4601, 4604.5, 4616, 4650, 4656, 4658.5, 4658.6, 4700, 4701, 4702, 4703, 5400, 5401, 5401.7 and 5402, Labor Code.

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