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Reset Form Print Form State of California Division of Workers' Compensation Disability Evaluation Unit DEU Use Only REQUEST FOR SUMMARY RATING DETERMINATION of Qualified Medical Evaluator s Report.

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In 2022, the minimum rate is $203.44 per week, and the maximum amount is $1,356.31 per week. However, Permanent Disability payments are given on a weekly basis, and the payment is two-thirds in ratio to the weekly wage prior to the disability.

A worker with a 0 percent impairment rating is considered to have no impairment at all. Therefore, such a worker is expected to continue with their daily tasks as they would before the injury.

Benefit Amount. SDI generally pays 60-70% of your average wages for up to 52 weeks of having a disability. However, your income may change from month to month, season to season, or year to year, making it hard to know what your exact average weekly income has been.

The rating is expressed as a percentage ranging from 0% (no disability that reduces earning capacity) to 100% (permanent total disability). ⁠62 Any rating above 0% but less than 100% reflects a permanent partial disability (PPD).

The QME report takes about 30 days to issue, sometimes longer, depending upon whether the parties agree. But when the QME report comes out, you'll have to decide how to proceed with it. Sometimes, a QME's report can be subject to dispute, which usually results in a long wait before trial.

The impairment rating is a percentage that represents the extent of a whole person impairment of the employee, based on the organ or body function affected by a covered illness or illnesses.

For example, if your disability rating was 20, you'd receive 5 weeks of payments for each percentage. 20 percent times 5 weeks = 100 weeks of benefits. If you, like in our last example, had prior average weekly earnings of $525 per week, and a disability rating of 20%, you'd receive $350 (2/3rds of that) for 100 weeks.

What Happens Once the QME Report is Completed? The QME should send copies of the report to you, your attorney, the claims administrator, and the Division of Workers' Compensation Disability Evaluation Unit (DEU). The DEU should issue a rating of your injury within 20 days.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232