WebDWC - AD 10133.33. I. NSTRUCTIONS: This form shall be developed jointly by the employer and employee and is intended to describe the employee's job duties. The … WebDWC - AD 10133.33. I. NSTRUCTIONS: This form shall be developed jointly by the employer and employee and is intended to describe the ... DWC AD 10133.33 (SJDB) Eff: 1/2013 Page 1 of 2. 2. Please indicate the daily Lifting and Carrying requirements of the job: Indicate the height the object is lifted from floor, table or

10133.33 Description of Employee

WebSection 10133.33 Form [DWC-AD 10133.33 “Description of Employee’s Job Duties”] Specific Purpose of Section 10133.33: This is an optional form which can be sent to a physician prior to any medical evaluation declaring the employee permanent and stationary with permanent partial disability. WebState of California Division of Workers' Compensation DESCRIPTION OF EMPLOYEE'S JOB DUTIES DWC - AD 10133.33 INSTRUCTIONS: This form shall be developed jointly by the employer and employee and is intended to describe the employee's job duties. The completed form will be reviewed to determine whether the employee is able to return to … involve phone number

DWC AD 10133.36 - freemanrehabilitationservices.com

WebDWC AD 10133.36 Freeman Rehabilitation Services Debbie Freeman P.O. Box 370, San Carlos CA 94070 Phone: 650-595-4447 ~ Fax: 866-804-0574 [email protected] Physician’s Return-to-Work & Voucher report For dates of injuries post 1/1/13 physicians are required to complete a Physician’s … WebDWC - AD 10133.33 INSTRUCTIONS: This form shall be developed jointly by the employer and employee and is intended to describe the employee's job duties. The completed … WebMessage - California Code of Regulations. This document is not available on Westlaw. involve platform