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Form I&A4 Information & Assistance Unit Guide - How to File an Application for Adjudication of Claim - California

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What Is Form I&A4?

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 I&A4?
A: Form I&A4 is the Information & Assistance Unit Guide on how to file an application for adjudication of claim in California.

Q: What does the Information & Assistance Unit do?
A: The Information & Assistance Unit provides free help to injured workers in California with their workers' compensation claims.

Q: What is an application for adjudication of claim?
A: An application for adjudication of claim is a formal request to the Workers' Compensation Appeals Board to resolve a dispute related to a workers' compensation claim.

Q: Why would someone file an application for adjudication of claim?
A: Someone would file an application for adjudication of claim if there is a dispute or disagreement regarding their workers' compensation claim that cannot be resolved through other means.

Q: What does the Form I&A4 guide provide?
A: The Form I&A4 guide provides step-by-step instructions on how to fill out and file an application for adjudication of claim, including information on required forms and supporting documents.

Q: Is there a fee to file an application for adjudication of claim?
A: No, there is no fee to file an application for adjudication of claim in California.

Q: Can I get help from the Information & Assistance Unit in filling out the application?
A: Yes, the Information & Assistance Unit can provide free assistance and guidance in filling out the application for adjudication of claim.

Q: What happens after I file an application for adjudication of claim?
A: After you file an application for adjudication of claim, the Workers' Compensation Appeals Board will schedule a hearing to resolve the dispute or disagreement.

Q: Can I hire an attorney to help me with my workers' compensation claim?
A: Yes, you have the right to hire an attorney to represent you in your workers' compensation claim if you choose to do so.

Form Details:

Released on June 1, 2018;
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 printable version of Form I&A4 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.