CaliforniaSupplemental Job Displacement Benefits forms

Notice of Offer of Regular Work

Form DWC-AD 10118. Official DWC file, and — where this filing is what the panel ruled on — the passage it turned on.

Form: DWC-AD 10118
Category: Supplemental Job Displacement Benefits forms
Languages: English

What this form is for

Notice of Offer of Regular Work * Injuries occurring between 1/1/05 - 12/31/12, Inclusive

Official file

Published by the Division of Workers' Compensation. This page does not replace the form — it points at the state's PDF and, where the form is what a panel actually ruled on, quotes that ruling.

Download PDF →

How to fill a DWC form →

Source: dir.ca.gov/dwc/forms.html. Unofficial guide — the PDF on that site is the form.

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