DWC Form 280 Petition for Change of Primary Treating Physician - California

DWC Form 280 Petition for Change of Primary Treating Physician - California

What Is DWC Form 280?

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 280?
A: DWC Form 280 is a Petition for Change of Primary Treating Physician in California.

Q: When would I need to fill out DWC Form 280?
A: You would need to fill out DWC Form 280 when you want to change your primary treating physician in a workers' compensation case in California.

Q: Can I change my primary treating physician without filling out DWC Form 280?
A: No, you need to fill out DWC Form 280 in order to request a change of primary treating physician in a workers' compensation case in California.

Q: Is there a fee for submitting DWC Form 280?
A: No, there is no fee for submitting DWC Form 280.

Q: What information do I need to provide on DWC Form 280?
A: You need to provide your personal information, details about your current primary treating physician, reasons for wanting to change your primary treating physician, and any supporting documents.

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Form Details:

  • Released on January 1, 2001;
  • 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 280 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.

Download DWC Form 280 Petition for Change of Primary Treating Physician - California

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