Get How To File A Declaration Of Readiness To Proceed - Dir Ca

Filing a declaration of readiness to proceed is an essential step in requesting a conference at your local Workers’ Compensation Appeals Board office. This guide will provide you with clear instructions on how to successfully complete this form online, ensuring that you include all necessary information and documentation.

Follow the steps to fill out the declaration of readiness to proceed online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information in the designated fields. This includes your first name, middle initial, and last name. Ensure that these fields are filled accurately.
3. Provide the employer's information including the name, address, city, state, and zip code where you were employed at the time of the injury.
4. Designate your role by selecting the appropriate option from the dropdown menu. Options include employee, applicant, defendant, and lien claimant.
5. Specify the type of conference you are requesting. Check the box next to the desired conference type, such as a mandatory settlement conference or status conference.
6. Indicate the principal issues related to your case by checking all that apply. This may include items like temporary disability or future medical treatment.
7. List the doctors whose reports you are relying on and include the date of their reports. Ensure that all relevant reports are included.
8. Detail your genuine, good faith efforts to resolve the disputes listed. Be as specific as possible to demonstrate your attempts to resolve the issues.
9. Sign and date the declaration, ensuring that you include your contact information such as mailing address and phone number.
10. Prepare additional documents such as the document cover sheet, document separator sheet, and proof of service by mail. Ensure these documents are filed in the specified order.
11. Store copies of all filed documents for your records. After confirming that everything is accurate, submit your completed forms to your local WCAB office.

Start your application process today by completing the declaration of readiness to proceed online.