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QME Form 106 Request for Qme Panel Under Labor Code Section 4062.2 - California
What Is QME Form 106?
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. Check the official instructions before completing and submitting the form.
FAQ
Q: What is QME Form 106?
A: QME Form 106 is a request form for a Qualified Medical Evaluator (QME) panel.
Q: What is the purpose of QME Form 106?
A: The purpose of QME Form 106 is to request a QME panel under Labor Code Section 4062.2 in California.
Q: What is a QME panel?
A: A QME panel is a group of Qualified Medical Evaluators who are selected from a list provided by the Division of Workers' Compensation.
Q: What is Labor Code Section 4062.2?
A: Labor Code Section 4062.2 is a California law that governs the process for requesting a QME panel in workers' compensation cases.
Q: Who can use QME Form 106?
A: QME Form 106 can be used by injured workers, employers, and insurance companies in California workers' compensation cases.
Form Details:
- Released on September 1, 2015;
- 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 106 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.
Download QME Form 106 Request for Qme Panel Under Labor Code Section 4062.2 - California
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