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QME Form 122 Ame or Qme Declaration of Service of Medical - Legal Report - California
What Is QME Form 122?
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 the QME Form 122?
A: The QME Form 122 is a form used in California for the Declaration of Service of Medical-Legal Report.
Q: Who uses the QME Form 122?
A: The QME Form 122 is used by Qualified Medical Evaluators (QMEs) in California.
Q: What is the purpose of the QME Form 122?
A: The QME Form 122 is used to document the service and delivery of a medical-legal report by a QME.
Q: Is the QME Form 122 specific to California?
A: Yes, the QME Form 122 is specific to California and is used in accordance with California law.
Form Details:
- Released on February 1, 2009;
- 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 QME Form 122 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.
