Get Declaration Of Readiness To Proceed (expedited ... - State Of California - Dir Ca

Filling out the Declaration Of Readiness To Proceed is an essential step in expediting your hearing in California's Workers' Compensation system. This guide will provide you with clear, step-by-step instructions to effectively complete this form online.

Follow the steps to properly complete the form.

1. Click the ‘Get Form’ button to access the Declaration Of Readiness To Proceed and open it in your document editor.
2. In the ‘Case No.’ field, enter your case number as it appears in your workers' compensation records.
3. Fill in the applicant's initials and full name in the appropriate fields labeled 'MI', 'First Name', and 'Last Name'.
4. Provide the employer's information by entering the employer's name in the designated field, ensuring to leave blank spaces between numbers, names, or words.
5. Enter the employer's street address or PO Box, city, state, and zip code while maintaining proper spacing.
6. Select the relevant issues you are requesting to address during the expedited hearing. Mark all that apply based on the three items listed.
7. Clearly state your good faith efforts to resolve disputes in the section regarding resolution efforts. Provide specific details about your attempts.
8. Sign the declaration under penalty of perjury, confirming your readiness to proceed with the hearing. Ensure your name or the name of your law firm is printed or typed clearly.
9. Complete the address and phone number fields with accurate information, using spaces as needed.
10. Finally, review all the information you have entered for any errors, then save your changes, download, print, or share the completed form as required.

Get started by completing your Declaration Of Readiness To Proceed online today!