This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form I&A3?
A: Form I&A3 is the Information & Assistance Unit Guide.
Q: What is the purpose of Form I&A3?
A: The purpose of Form I&A3 is to provide guidance on how to object to your summary rating in California.
Q: What does the Information & Assistance Unit do?
A: The Information & Assistance Unit provides guidance and assistance to individuals in California regarding their workers' compensation claims.
Q: What is a summary rating?
A: A summary rating is a determination of the level of permanent disability resulting from a workplace injury.
Q: Why would someone object to their summary rating?
A: Someone may object to their summary rating if they believe it does not accurately reflect the extent of their disability.
Q: How can someone object to their summary rating?
A: Form I&A3 provides instructions on how to object to a summary rating, including the steps to take and the deadlines to meet.
Form Details:
Download a printable version of Form I&A3 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.