California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1.8.5 - Electronic Adjudication Management System Rules
Article 1 - Definitions and General Provisions
Section 10205.2 - Compromise and Release Forms and Stipulations with Request for Award Forms
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
The following optical character recognition forms shall be used to settle case by either a compromise and release or stipulation with request for award.
(a) DWC-CA form 10214(a) (Stipulations with request for award) revision dated 11/2008 is incorporated by reference;
(b) DWC-CA form 10214(b) (Stipulations with request for award, death case) dated 11/2008 is incorporated by reference;
(c) DWC-CA form 10214(c) (Compromise and release) revision dated 11/2008 is incorporated by reference;
(d) DWC-CA form 10214(d) (Compromise and release, dependency claim) revision dated 11/2008 is incorporated by reference;
(e) DWC-CA form 10214(e) (Compromise and release, third party settlement) revision dated 11/2008 is incorporated by reference.
1. Renumbering of former section 10214 to new section 10205.2, including amendment of NOTE, filed 12-10-2012 as a change without regulatory effect pursuant to section 100, title 1, California Code of Regulations by the Division of Workers' Compensation and as a file and print by the Workers' Compensation Appeals Board pursuant to Government Code section 11351 (Register 2012, No. 50).
Note: Authority cited: Sections 111, 133, 138.2(b) and 5307.3, Labor Code; and Stats. 2011, c. 559, § 17 (A.B. 1426). Reference: Sections 5002, 5003, 5004 and 5005, Labor Code.
