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Fillable form instructions - we recommend downloading forms to your desktop ; Petition to terminate liability for temporary disability indemnity, WCAB 46. Complete only the "employee" section of the form and send it to your employer right away.4. Name and address of physician providing medical report: 5. Employee: Please complete all boxes 1 - 18 below. Form CA-2 ("Federal Employees' Notice of Occupational Disease and. (3) The procedure for filing occupational disease claims shall be as follows: (a) The application for resolution of claim shall set forth the complete work. 2, Request for Independent edical Examination. WCB-1, Employer's First Report of Occupational Injury or Disease. Complete an Application for Structured Settlement (F240-002-000). Without knowledge of your work-related injury or occupational disease, your employer may ask.