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 10161.1 - Reproduction of Forms
The Request for Summary Rating Determination of Qualified Medical Evaluator's Report, the Employee's Disability Questionnaire, and the Request for Summary Rating Determination of the Primary Treating Physician's Report may be reproduced by automated office equipment or other means as long as the printed content and layout of the form are identical to the specified form.
1. New
section filed 2-21-95; operative 2-21-95. Submitted to OAL for printing only
pursuant to Government Code section 11351 (Register 95, No. 8).
2.
Amendment of section number filed 8-8-95; operative 8-8-95. Submitted to OAL
for printing only pursuant to Government Code section 11351 (Register 95, No.
32).
3. Amendment of section and new NOTE 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.