DWC Form 5 Request for Accommodation by Persons With Disabilities - California

DWC Form 5 Request for Accommodation by Persons With Disabilities - California

What Is DWC Form 5?

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 DWC Form 5?
A: DWC Form 5 is a form used in California to request accommodation by persons with disabilities.

Q: Who can use DWC Form 5?
A: Any individual with disabilities in California can use DWC Form 5 to request accommodation.

Q: What does DWC Form 5 require?
A: DWC Form 5 requires information about the person's disability, the accommodation being requested, and any supporting documentation.

Q: What should I do after filling out DWC Form 5?
A: After filling out DWC Form 5, you should submit it to your employer or the appropriate authority as instructed on the form.

Q: What happens after submitting DWC Form 5?
A: After submitting DWC Form 5, the employer or authority will review the request and determine whether to grant the accommodation or not.

Q: Is there a deadline for submitting DWC Form 5?
A: There is no specific deadline for submitting DWC Form 5, but it is recommended to submit it as soon as possible to ensure timely consideration.

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Form Details:

  • Released on September 29, 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 DWC Form 5 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.

Download DWC Form 5 Request for Accommodation by Persons With Disabilities - California

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  • DWC Form 5 Request for Accommodation by Persons With Disabilities - California, Page 1
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