This version of the form is not currently in use and is provided for reference only. Download this version of DWC Form RFA for the current year.
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.
Q: What is DWC Form RFA?
A: DWC Form RFA is a Request for Authorization form used in California for workers' compensation cases.
Q: Who uses DWC Form RFA?
A: DWC Form RFA is used by injured workers, healthcare providers, and insurance companies in California.
Q: What is the purpose of DWC Form RFA?
A: The purpose of DWC Form RFA is to request authorization for medical treatment or services related to a workers' compensation injury.
Q: What happens after submitting DWC Form RFA?
A: After submitting DWC Form RFA, the claims administrator or insurance company will review the request and either approve or deny the authorization for the requested treatment or services.
Q: Can DWC Form RFA be appealed?
A: Yes, if DWC Form RFA is denied, you have the right to appeal the decision and request a review by an Independent Medical Review (IMR) in California.
Q: Is there a time limit for submitting DWC Form RFA?
A: Yes, there are specific time limits for submitting DWC Form RFA, so it's important to make sure you submit it within the required timeframe.
Form Details:
Download a fillable version of DWC Form RFA by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.