The California DWC Medical Provider Network Complaint Form is used for filing complaints about medical provider networks. It is an online form designed to provide the California Department of Industrial Relations with information about medical provider networks that are not in compliance with applicable laws and regulations. The form is divided into three sections: Complaint Information, Complaint Description, and Follow-Up. In the Complaint Information section, the complainant provides identifying information such as name, address, phone number, e-mail address, and the medical provider network that is the subject of the complaint. The Complaint Description section requires a description of the problem and the steps that have been taken to try to resolve the issue. In the Follow-Up section, the complainant can provide additional information or ask for a response from the Department of Industrial Relations. There are two types of California DWC Medical Provider Network Complaint Forms: the Initial Complaint Form and the Follow-up Complaint Form. The Initial Complaint Form is used to file a complaint for the first time. The Follow-up Complaint Form is used to follow up on an existing complaint.