Request For DWC Authorization Number {DWC AD-3} | Pdf Fpdf Doc Docx | California

 California   Workers Comp   General 
Request For DWC Authorization Number {DWC AD-3} | Pdf Fpdf Doc Docx | California

Last updated: 5/30/2015

Request For DWC Authorization Number {DWC AD-3}

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Description

DWC Form AD-3 - REQUEST FOR DWC AUTHORIZATION NUMBER. This form is used to obtain authorization from the California Division of Workers’ Compensation (DWC) to access Workers’ Compensation Appeals Board (WCAB) case information. Individuals or businesses seeking streamlined access to WCAB public records must complete this form and submit it to the DWC Public Records Office. The request requires identifying information about the requester, the nature of the requester’s business, and an explanation of why the information is needed. By signing the form, the requester declares under penalty of perjury that the information will not be used for illegal or unlawful purposes www.FormsWorkflow.com

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