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.
Q: What is DWC-AD Form 10133.55?
A: DWC-AD Form 10133.55 is a form used for requesting dispute resolution before the Administrative Director in California.
Q: Who can use DWC-AD Form 10133.55?
A: Anyone involved in a dispute related to workers' compensation in California can use DWC-AD Form 10133.55 to request resolution.
Q: What is the purpose of DWC-AD Form 10133.55?
A: The purpose of DWC-AD Form 10133.55 is to initiate the process of resolving a dispute related to workers' compensation before the Administrative Director.
Q: What information is required on DWC-AD Form 10133.55?
A: DWC-AD Form 10133.55 requires information such as the name and contact information of the requester, details of the dispute, and any supporting documentation.
Q: What happens after submitting DWC-AD Form 10133.55?
A: After submitting DWC-AD Form 10133.55, the dispute will be reviewed by the Administrative Director or their designee, who will determine the appropriate course of action.
Form Details:
Download a fillable version of DWC-AD Form 10133.55 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.