California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1.6 - Permanent Disability Rating Determination
Section 10161 - Forms
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Employee's Disability Questionnaire (DWC AD Form 100 (DEU)).
(b) Request for Summary Determination of Qualified Medical Evaluator's Report (DWC AD Form 101 (DEU)).
(c) Request for Summary Determination of Primary Treating Physician's Report (DWC AD Form 102 (DEU)).
1. New
section filed 4-25-91; operative 4-25-91 (Register 91, No. 26). New section is
exempt from review by OAL pursuant to Government Code section
11351.
2. Repealer and new DEU Form 100 filed 1-28-94; operative
1-28-94. Submitted to OAL for printing only pursuant to Government Code section
11351 (Register 94, No. 4).
3. Editorial correction restoring
inadvertently omitted subsection (b) (Register 95, No. 8).
4.
Amendment of subsections (a), (b) and forms 100 and 101; and new subsection (c)
and form 102 filed 2-21-95; operative 2-21-95. Submitted to OAL for printing
only pursuant to Government Code section 11351 (Register 95, No.
8).
5. Certificate of Compliance as to 12-31-2004 order, including
further amendment of section and forms and amendment of NOTE, transmitted to
OAL 4-29-2005 and filed 6-10-2005 (Register 2005, No. 23).
6.
Amendment of section, including repealer and new DEU Form 100, DEU Form 101 and
DEU Form 102, filed 11-17-2008; operative 11-17-2008 pursuant to Government
Code section 11343.4 (Register 2008, No. 47).
Note: Authority cited: Sections 133 and 5307.3, Labor Code. Reference: Sections 124, 4061, 4062, 4062.01, 4062.1, 4062.2, 4062.5, 4064, 4067, 4660, 4662, 4663 and 4664, Labor Code.
