California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 8 - Office of the Director
Subchapter 7 - Return-to-Work Supplement
Article 1
Section 17303 - Notice

Commencing 30 days after the effective date of these regulations, and continuing until the Administrative Director of the Division of Workers' Compensation amends Form DWC-AD 10133.32 to include notice of the Return-to-Work Supplement application process, all Vouchers issued shall be accompanied by a cover sheet, prepared by the claims administrator, containing the following notice: "Because you have received this Voucher and are unable to return to your usual employment you may be eligible for a Return-to-Work Supplement. You must apply within one year from the date this Voucher was served on you. You should make a copy of the Voucher which you will need to apply for the Return-to-Work Supplement. Details about the Return-to-Work supplement program are available from the Department of Industrial Relations on its web site, www.dir.ca.gov, or by calling 510-286-0787." The Director will arrange for publication on the Department web site of a notice targeted at eligible persons who received vouchers before the notice was included with the voucher.

1. New section filed 4-6-2015; operative 4-6-2015 pursuant to Government Code section 11343.4(b)(3) (Register 2015, No. 15).

Note: Authority cited: Sections 54, 55 and 139.48, Labor Code. Reference: Section 139.48 and 4658.7, Labor Code.