Complaint About A Workers Compensation Administrative Law Judge

COMPLAINT ABOUT A WORKERS’ COMPENSATION ADMINISTRATIVE LAW JUDGE (Labor Code §123.6 and Title 8, Cal. Code Regs. §9722.1). This is a California Department of Industrial Relations form used to report alleged ethical misconduct by a Workers’ Compensation Administrative Law Judge to the Workers’ Compensation Ethics Advisory Committee. The form collects the complainant’s contact information, any attorney information, the judge’s name, WCAB case number, and case title, followed by a detailed description of the specific conduct believed to violate the California Code of Judicial Ethics, including dates and witnesses. The signed complaint is mailed to the Ethics Advisory Committee in San Francisco. The accompanying instructions explain examples of ethics violations, clarify that disagreements with a judge’s ruling must be addressed through legal appeal procedures, and provide contact information for complaints about attorneys, insurers, physicians, or other DWC personnel. www.FormsWorkflow.com