DWC-CA Form 10214(D) Compromise and Release (Dependency Claim) - California

What Is DWC-CA Form 10214(D)?

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-CA Form 10214(D)?A: DWC-CA Form 10214(D) is a Compromise and Release form specifically for Dependency Claim in the state of California.

Q: What is a Compromise and Release?A: A Compromise and Release is a legal document that resolves and settles a workers' compensation claim.

Q: What is a Dependency Claim?A: A Dependency Claim is a claim filed by the dependents of a deceased worker for workers' compensation benefits.

Q: Who can file a Dependency Claim?A: The dependents of a deceased worker, such as a spouse, children, or certain family members, can file a Dependency Claim.

Q: What does DWC stand for in DWC-CA Form 10214(D)?A: DWC stands for Division of Workers' Compensation, which is a California state agency.

Q: How do I fill out DWC-CA Form 10214(D)?A: You should carefully read the instructions on the form and provide all the requested information, including details about the deceased worker, the dependent claimants, and the nature of the claim.

Q: What happens after I submit DWC-CA Form 10214(D)?A: Once you submit the form, it will be reviewed by the workers' compensation insurer and the Division of Workers' Compensation. They will determine whether to approve or deny the claim.

Q: Are there any fees or costs associated with filing DWC-CA Form 10214(D)?A: There may be filing fees and costs associated with filing DWC-CA Form 10214(D). It is recommended to check with the appropriate authorities for the current fee schedule.

Q: Can I negotiate the terms of the Compromise and Release?A: Yes, you can negotiate the terms of the Compromise and Release with the workers' compensation insurer. It is advisable to consult with an attorney to ensure your rights are protected.