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DWC Medical Unit - California Department of Industrial …

    https://www.dir.ca.gov/dwc/MedicalUnit/imchp.html
    The unit oversees the independent medical review (IMR) and independent bill review (IBR) programs used to resolve disputes about medical treatment and medical-legal billing. It …

QME Form Application

    https://efiling.dir.ca.gov/QMEO/pages/home.jsp
    Occupational Safety & Health StandardsBoard (OSHSB) Occupational Safety & Health AppealsBoard (OSHAB) Workers' Compensation Appeals Board (WCAB) Industrial …

DWC homepage

    http://www.dwc.ca.gov/
    The Division of Workers' Compensation (DWC) monitors the administration of workers' compensation claims, and provides administrative and judicial services to assist in …

DWC Forms - California

    http://www.dwc.ca.gov/dwc/forms-Mileage.html
    DWC Forms DWC Medical mileage expense form Medical mileage expense form If you need a medical mileage expense form for a year not listed here, please contact the …

Forms - myfloridacfo.com

    https://myfloridacfo.com/division/wc/forms
    DFS-F5-DWC-90: Institutional Billing Form (UB-04) - A copy of the DWC-90 can be obtained from the CMS website (PLEASE NOTE THIS FORM IS NOT AVAILABLE ON …

Division of Workers' Compensation | Missouri labor

    https://labor.mo.gov/dwc
    The Division provides services to those who have been injured on the job or exposed to occupational disease arising out of and in the course of employment. The Division also …

Florida Workers' Compensation Uniform Medical …

    https://myfloridacfo.com/division/wc/provider/dwc-25
    Florida Workers' Compensation Uniform Medical Treatment/Status Report Form (DFS-F5-DWC-25) The provider must complete form DFS-F5-DWC-25 to request authorization for …

Division Independent Medical Examination (DIME)

    https://cdle.colorado.gov/medical-providers/division-independent-medical-examination-dime
    Division Independent Medical Examination (DIME) | Department of Labor & Employment Division Independent Medical Examination (DIME) March 24, 2020: You are strongly …

Medical Forms | RI Department of Labor & Training

    https://dlt.ri.gov/workers-compensation/medical-forms
    Unemployment Insurance Claim Help Form. Completing this form is the fastest way to let us know that you are having trouble filing your claim, requesting …



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