DWC Form RFA Request for Authorization - California

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DWC Form RFA Request for Authorization - California

What Is DWC Form RFA?

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 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.

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Form Details:

  • Released on January 1, 2014;
  • 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 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.

Download DWC Form RFA Request for Authorization - California

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