DIA WCAB Form 2 (DIA2) Application for Adjudication of Claim - Death Case - California

DIA WCAB Form 2 (DIA2) Application for Adjudication of Claim - Death Case - California

What Is DIA WCAB Form 2 (DIA2)?

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 DIA WCAB Form 2?
A: The DIA WCAB Form 2 is an application for adjudication of claim in a death case in California.

Q: Who can use the DIA WCAB Form 2?
A: The DIA WCAB Form 2 can be used by individuals who wish to file a claim for death benefits in California.

Q: What is the purpose of the DIA WCAB Form 2?
A: The DIA WCAB Form 2 serves the purpose of initiating the process for obtaining death benefits in the case of a work-related death in California.

Q: Is the DIA WCAB Form 2 specific to California?
A: Yes, the DIA WCAB Form 2 is specific to California and is used within the state's workers' compensation system.

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Form Details:

  • Released on July 1, 1981;
  • 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 DIA WCAB Form 2 (DIA2) by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.

Download DIA WCAB Form 2 (DIA2) Application for Adjudication of Claim - Death Case - California

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