DWC WCAB Form 10214 (A) Stipulations With Request for Award - California

What Is DWC WCAB Form 10214 (A)?

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 WCAB Form 10214 (A)?
A: DWC WCAB Form 10214 (A) is a Stipulations With Request for Award form used in California workers' compensation cases.

Q: What is the purpose of DWC WCAB Form 10214 (A)?
A: The purpose of DWC WCAB Form 10214 (A) is to document the agreement between the injured worker and the employer/insurer on certain issues, and to request an award from the Workers' Compensation Appeals Board.

Q: When should DWC WCAB Form 10214 (A) be used?
A: DWC WCAB Form 10214 (A) should be used when there is an agreement between the parties on certain aspects of a workers' compensation claim, such as the extent of disability, future medical treatment, or the amount of a settlement.

Q: Who needs to complete DWC WCAB Form 10214 (A)?
A: Both the injured worker and the employer/insurer need to complete DWC WCAB Form 10214 (A) to indicate their agreement on the stipulations.

Q: Is DWC WCAB Form 10214 (A) required by law?
A: While the use of DWC WCAB Form 10214 (A) is not specifically required by law, it is a commonly used form in California workers' compensation cases to establish agreed-upon stipulations and request an award from the WCAB.