Application for Discrimination Benefits Pursuant to Labor Code Section 132a Verification Form - California

Application for Discrimination Benefits Pursuant to Labor Code Section 132a Verification Form is a legal document that was released by the California Department of Industrial Relations - Division of Workers' Compensation - a government authority operating within California.

FAQ

Q: What is the purpose of the Discrimination Benefits Pursuant to Labor Code Section 132a Verification form?
A: The form is used to apply for discrimination benefits in accordance with Labor Code Section 132a in California.

Q: What is Labor Code Section 132a?
A: Labor Code Section 132a is a California law that prohibits employers from discriminating against employees who have sustained work-related injuries or made claims for workers' compensation.

Q: Who can use the Discrimination Benefits Pursuant to Labor Code Section 132a Verification form?
A: Employees in California who believe they have been subject to discrimination by their employer due to a work-related injury or workers' compensation claim can use this form.

Q: How do I verify my claim for discrimination benefits?
A: You need to complete the Discrimination Benefits Pursuant to Labor Code Section 132a Verification form and provide all the necessary information and supporting documentation.

Q: What information do I need to provide on the form?
A: You will need to provide personal information, details of your work-related injury or workers' compensation claim, and any evidence or witnesses that support your claim of discrimination.

Q: What should I do with the completed form?
A: You should submit the completed form to your employer, who will then provide it to their workers' compensation insurance carrier and the Division of Workers' Compensation.

Q: What happens after I submit the form?
A: After you submit the form, the workers' compensation insurance carrier and the Division of Workers' Compensation will review your claim and determine if you are eligible for discrimination benefits.

Q: Can I appeal if my claim for discrimination benefits is denied?
A: Yes, if your claim is denied, you have the right to appeal the decision through the appropriate legal process in California.

Q: Are there any time limits for filing a claim for discrimination benefits?
A: Yes, there are specific deadlines for filing a claim under Labor Code Section 132a, so it is important to file your claim within the required timeframe.