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DWC-CA Form 10214(B) Stipulations With Request for Award (Death Case) - California
What Is DWC-CA Form 10214(B)?
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-CA Form 10214(B)?
A: DWC-CA Form 10214(B) is a form used in California for stipulations with a request for award in death cases.
Q: What does the form involve?
A: The form involves stipulations, which are agreements between the parties involved, and a request for an award in a death case.
Q: Who uses this form?
A: This form is used by parties involved in a workers' compensation case in California where a death has occurred.
Q: What is the purpose of this form?
A: The purpose of this form is to formalize agreements between the parties and to request an award in a death case.
Form Details:
- Released on November 1, 2008;
- 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-CA Form 10214(B) 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-CA Form 10214(B) Stipulations With Request for Award (Death Case) - California
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