PDF
Word
DWC Form AD-3 Request for DWC Authorization Number - California
What Is DWC Form AD-3?
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 AD-3?
A: DWC Form AD-3 is a form used in California to request a DWC Authorization Number.
Q: What is a DWC Authorization Number?
A: A DWC Authorization Number is a number issued by the Division of Workers' Compensation (DWC) in California to authorize certain activities related to workers' compensation.
Q: How do I request a DWC Authorization Number?
A: You can request a DWC Authorization Number by submitting DWC Form AD-3 to the Division of Workers' Compensation in California.
Q: Is there a fee for requesting a DWC Authorization Number?
A: Yes, there is a fee associated with requesting a DWC Authorization Number. The fee amount may vary.
Q: What activities require a DWC Authorization Number?
A: Activities such as providing medical treatment or performing medical-legal evaluations in the workers' compensation system may require a DWC Authorization Number.
Form Details:
- Released on May 1, 2006;
- 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 AD-3 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.
