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Claim Form
A form to report a work injury or illness to your employer.
Subpoena
A document that requires a witness to appear at a hearing. There must be an Application for Adjudication on file for a subpoena to be valid.
Consultative Rating
A rating of permanent disability provided by the DWC Disability Evaluation Unit when a claim is litigated or if the injured worker has an attorney. See Permanent Disability Rating.
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.
Claims Administrator
This is the term for insurance companies and others who handle your workers' compensation claim.
Findings & Award (F&A)
A Workers' Compensation Administrative Law Judge's decision finding that an applicant is entitled to disability benefit payments, future medical treatment, or both.
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.
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.
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.
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.
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