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State fund dwc Form: What You Should Know
DWC Forms — California Department of Industrial Relations Fillable form instructions — we recommend downloading forms to your desktop ; Compromise and release — third party, DWC-CA 10214-e ; Declaration of readiness to reject — DWC 10514-e; Medical and reconciliation — DWC 10214-c; Safety and treatment — DWC 10514-d; Evaluation and treatment — DWC 10410-c; Medications — DWC 91610-b. Download PDF form Informational [PDF] — PDF File
DWC Forms — California Department of Industrial Relations
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- Compromise and Release Third party, DWC-CA 10214-e.
- Medical and Reconciliation DWC 10214-r.
- Safety and Treatment DWC 10214-k.
- Evaluation and Medical Treatment DWC 10514-a.
The DWC form enables you to determine whether a claimant meets the requirements for a medical insurance coverage policy or for the payment of a medical bill for treatment. A medical insurance policy is a policy or agreement to make medical benefits available to a person who is disabled or ill or whose employer has made written coverage. A medical bill is a bill for treatment to help pay for a medical condition or expense incurred as a result of illness.
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