NOTE: Form is available at no charge by downloading from the web at www.dir.ca.gov/dwc/forms.html or by requesting at 1-800-794-6900.
Cal. Code Regs. Tit. 8, § 104
2. Amendment filed 9-6-2001; operative 10-6-2001 (Register 2001, No. 36).
3. Repealer and new section and new NOTE filed 1-13-2009; operative 2-17-2009 (Register 2009, No. 3).
4. Repealer and new Form 104 filed 9-16-2013; operative 9-16-2013 pursuant to Government Code section 11343.4(b)(3) (Register 2013, No. 38).
5. Amendment filed 8-12-2015; operative 9-1-2015 pursuant to Government Code section 11343.4(b)(3) (Register 2015, No. 33).
Note: Authority cited: Sections 53, 133, 139.2 and 5307.3, Labor Code. Reference: Sections 139.2, 4060, 4061, 4061.5, 4062, 4062.1 and 4062.2, Labor Code; Sections 1798 et seq., Civil Code; and Sections 6250 et seq., Government Code.
2. Amendment filed 9-6-2001; operative 10-6-2001 (Register 2001, No. 36).
3. Repealer and new section and new Note filed 1-13-2009; operative 2-17-2009 (Register 2009, No. 3).
4. Repealer and new Form 104 filed 9-16-2013; operative 9-16-2013 pursuant to Government Code section 11343.4(b)(3)(Register 2013, No. 38).
5. Amendment filed 8-12-2015; operative 9/1/2015 pursuant to Government Code section 11343.4(b)(3) (Register 2015, No. 33).