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QME Form 124 Qme Disclosure of Specified Financial Interests - California
What Is QME Form 124?
This is a legal form that was released by the California Department of Industrial Relations - Division of Workers' Compensation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the QME Form 124?
A: The QME Form 124 is the QME Disclosure of Specified Financial Interests form in California.
Q: What is QME?
A: QME stands for Qualified Medical Evaluator. They perform medical evaluations for workers' compensation cases.
Q: What is the purpose of the QME Form 124?
A: The purpose of the QME Form 124 is to disclose any financial interests that may create a conflict of interest for the QME.
Q: Who needs to fill out the QME Form 124?
A: Qualified Medical Evaluators (QMEs) in California need to fill out the QME Form 124.
Q: What financial interests should be disclosed on the QME Form 124?
A: Any financial interests that could potentially influence the QME's evaluation should be disclosed on the QME Form 124.
Form Details:
- Released on February 1, 2009;
- The latest edition provided by the California Department of Industrial Relations - Division of Workers' Compensation;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of QME Form 124 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.
