Form DWC-AD10133.57 Supplemental Job Displacement Nontransferable Training Voucher Form for Injuries Occurring Between 1 / 1 / 04-12 / 31 / 12, Inclusive - California

Form DWC-AD10133.57 Supplemental Job Displacement Nontransferable Training Voucher Form for Injuries Occurring Between 1 / 1 / 04-12 / 31 / 12, Inclusive - California

What Is Form DWC-AD10133.57?

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 Form DWC-AD10133.57?
A: Form DWC-AD10133.57 is the Supplemental Job Displacement Nontransferable Training Voucher Form for injuries occurring in California between 1/1/04-12/31/12.

Q: What is the purpose of Form DWC-AD10133.57?
A: The purpose of Form DWC-AD10133.57 is to provide a nontransferable training voucher to individuals who have suffered work-related injuries between 1/1/04-12/31/12.

Q: Who is eligible for Form DWC-AD10133.57?
A: Individuals who have suffered work-related injuries between 1/1/04-12/31/12 in California may be eligible for Form DWC-AD10133.57.

Q: What is a nontransferable training voucher?
A: A nontransferable training voucher is a document that can be used to pay for training and education-related expenses to enhance an injured worker's job skills.

Q: When can Form DWC-AD10133.57 be used?
A: Form DWC-AD10133.57 can be used for injuries occurring between 1/1/04-12/31/12 in California.

Q: Is Form DWC-AD10133.57 transferable to others?
A: No, Form DWC-AD10133.57 is nontransferable and can only be used by the individual who was issued the voucher.

Q: What expenses can be covered by the voucher?
A: The voucher can be used to cover training and education-related expenses, such as tuition, fees, books, and other necessary supplies.

Q: Is there an expiration date for the voucher?
A: Yes, the voucher must be used within two years of the date it was issued.

Q: Can the voucher be used for cash payments?
A: No, the voucher cannot be exchanged for cash or used to pay for living expenses.

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Form Details:

  • Released on January 1, 2014;
  • The latest edition provided by the California Department of Industrial Relations - Division of Workers' Compensation;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DWC-AD10133.57 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.

Download Form DWC-AD10133.57 Supplemental Job Displacement Nontransferable Training Voucher Form for Injuries Occurring Between 1 / 1 / 04-12 / 31 / 12, Inclusive - California

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  • Form DWC-AD10133.57 Supplemental Job Displacement Nontransferable Training Voucher Form for Injuries Occurring Between 1/1/04-12/31/12, Inclusive - California

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  • Form DWC-AD10133.57 Supplemental Job Displacement Nontransferable Training Voucher Form for Injuries Occurring Between 1/1/04-12/31/12, Inclusive - California, Page 2

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  • Form DWC-AD10133.57 Supplemental Job Displacement Nontransferable Training Voucher Form for Injuries Occurring Between 1 / 1 / 04-12 / 31 / 12, Inclusive - California, Page 1
  • Form DWC-AD10133.57 Supplemental Job Displacement Nontransferable Training Voucher Form for Injuries Occurring Between 1 / 1 / 04-12 / 31 / 12, Inclusive - California, Page 2
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