DWC-CA Form 10214(E) Third Party Compromise and Release - California

DWC-CA Form 10214(E) Third Party Compromise and Release - California

What Is DWC-CA Form 10214(E)?

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(E)?
A: DWC-CA Form 10214(E) is a Third Party Compromise and Release form specific to California.

Q: What is the purpose of DWC-CA Form 10214(E)?
A: The purpose of DWC-CA Form 10214(E) is to outline the terms of a compromise and release agreement between a third party and the injured party in a workers' compensation case.

Q: Who uses DWC-CA Form 10214(E)?
A: DWC-CA Form 10214(E) is typically used by injured workers, employers, and insurance carriers in California workers' compensation cases.

Q: What does the form entail?
A: The form includes information about the injured worker, the third party involved, details about the accident or injury, and the terms of the compromise and release agreement.

Q: Is DWC-CA Form 10214(E) mandatory?
A: While DWC-CA Form 10214(E) is not mandatory, it is commonly used in California workers' compensation cases as a way to settle disputes and avoid litigation.

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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(E) 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(E) Third Party Compromise and Release - California

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