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Claim Form
A form to report a work injury or illness to your employer.
Application for Adjudication of Claim (Application or App)
Filing this form establishes a case before the Workers' Compensation Appeals Board (WCAB). A WCAB case number will be assigned.
Compromise and Release (C&R)
Generally, a final settlement of your workers' compensation case where the parties agree on a single lump sum payment. It usually settles all outstanding issues except for future vocational rehabilitation.
State Disability Insurance (SDI):
A branch of the Employment Development Department that pays temporary disability benefits for non-industrial injuries or illnesses.
Panel Qualified Medical Evaluator
A list of three independent qualified medical evaluators issued by the state Industrial Medical Council. You select any one of the three doctors for your evaluation. This is for workers not represented by an attorney.
Agreed Medical Examiner (AME)
A physician selected by your attorney and the claims administrator who conducts a medical evaluation and submits a comprehensive report to the parties.
Temporary Patial Disability (TPD)
A wage replacement benefit that may be paid when you return to work but at less than full earnings. Sometimes referred to as Wage Loss.
Wage Loss
Temporary disability benefits that may be paid when an employee returns to work at less than full earnings. Also known as Temporary Partial Disability (TPD).
Light Duty
Temporary change in job assignment to accommodate work restrictions while you are healing. May or may not pay at the same rate as your normal work assignment. Lost wages may be partially made up by Temporary Partial Disability (TPD) payments.
Summary Rating Reconsideration
An administrative procedure to object to the Summary Permanent Disability Rating issued by the DWC Disability Evaluation Unit. The request must be made within 30 days of receipt of the summary rating.
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