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DWC Forms - California Department of Industrial Relations

    https://www.dir.ca.gov/dwc/forms-Mileage.html
    Medical mileage expense form. If you need a medical mileage expense form for a year not listed here, please contact the Information and Assistance Unit at your closest district …

Medical mileage expense form - California …

    https://www.dir.ca.gov/dwc/I&A_mileageForm2021.pdf
    If you have to travel to get treatment for your work injury, you are entitled to re-payment of your travel costs. The mileage rate is .56 cents ($0.56) per mile. Mileage for reasonable …

Medical mileage expense form - California …

    https://www.dir.ca.gov/dwc/I&A_mileageForm2020.pdf
    If you have to travel to get treatment for your work injury, you are entitled to re-payment of your travel costs. The mileage rate is 57.5 cents($.575)per mile. Mileagefor …

CA Medical Mileage Expense Forms (Workers' Comp …

    https://www.geklaw.com/workers-comp-forms/medical-mileage.html
    What's Included in the Mileage "Package" Workers injured on the job are entitled to reimbursement for medical mileage, which includes the transportation expenses to and from the following: Medical …

Medical mileage expense form - California …

    https://www.dir.ca.gov/dwc/I&A_mileageForm-2018.pdf
    Ifyou have to travelto get treatment for your work injury, you are entitled to re-payment of your travel costs. The mileage rate is 54.5 cents ($.545) per mile. Mileage for reasonable …

DWC Forms - California Department of Industrial Relations

    https://www.dir.ca.gov/dwc/forms.html
    Application for discrimination benefits pursuant to Labor Code section 132 - A. See I&A guide 7 for more detailed instructions. Verification form. Application for adjudication of …

Medical mileage expense form …

    https://www.dir.ca.gov/dwc/I&A_mileageForm.pdf
    If you have to travel to get treatment for your work injury, you are entitled to re-payment of your travel costs. The mileage rate is 65.5 cents ($0.655) per mile. Mileage for …

Medical Mileage Expense Form 01-2023 - State …

    https://content.statefundca.com/pdf/3065.pdf
    Medical Mileage Expense Form Forma de Gastos por Distancia Recorrida por Visitas Médica Please mail to your assigned claims adjuster provided on your claim …

Mileage Rate for Medical and Medical-Legal Travel …

    https://www.dir.ca.gov/DIRNews/2022/2022-47.html
    The Division of Workers’ Compensation (DWC) is announcing the increase of the mileage rate for medical and medical-legal travel expenses by 4 cents to 62.5 …

All Forms - State Compensation Insurance Fund

    https://www.statefundca.com/forms/AllForms.asp
    Workers' Compensation Claim Form (DWC 1) e3301 Informational Materials Access Your Account - Agriculture 13893 Access Your Account - General 13893 Access Your Account …



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