Cal. Code Regs. Tit. 8, § 10166.1 - Form (Request for Consultative Rating)
DWC-AD Form 104 (DEU)
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Notes
Note: Authority cited: Sections 133, 5307.3 and 5307.4, Labor Code. Reference: Sections 123.6, 123.7, 124, 5275, 5451, 5502, 5701 and 5703.5, Labor Code.
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