The AAI StandardAAI-STD 1 · Edition 2.0 · Public draft
California Workers' Compensation profile of the AAI Standard for the legal case file
How every document in a case file — whatever arrives by mail, fax, e-mail, e-service or a portal, and whatever the firm itself writes, files or assembles — goes behind one of nine tabs, is named to one grammar, is clipped with its due date, and is reported to the right person; in enough detail to keep a case file by hand from this page alone — and how a firm records the ways its own folder, rules and next steps differ, so that the file always says why it is the way it is.
About this standard. Published by AAI at standards.aai.dev as a public draft for comment (edition 2.0, October 2026). It is the California workers' compensation profile of the AAI Standard for the legal case file: how every document in a case file is placed, named, clipped with its due date, and reported. Comments and corrections: standards@aai.dev.
Legal information, not legal advice. The standard cites statutes, regulations and decisions so the reader can check them; it creates no attorney-client relationship and is offered as is, without warranty. Every name, doctor and party in the examples is fictional.
© 2026 AAI · Sean Weber, author. License to follow; until published, link to this page rather than reproduce it.
It opens with the clerk's one-page sheet — the desk itself, enough to handle any document by hand — and everything after it is the reasoning behind that page. Section 1 states the idea: a case file is a brown folder, and every document is settled by three questions — which tab it goes behind, what is clipped to it, and who is told — and then a fourth: what the firm does next. Section 2 sets out the folder: nine tabs named in the terms of art and coded M1 to M9, the fifteen standard tabs of edition 1.9 beneath them as sub-tab sources, the sub-tabs, firm records, the codes and the identity rule, the spine and the filing note; section 3 walks one document through the procedure. Sections 4, 5 and 6 govern the name — the grammar and its tokens, the TYPE vocabulary with its EAMS identity, and worked examples. Section 7 sets out the clocks with their authority; section 8 the rules that hold across every tab, with the Appeals Board's en banc decisions; section 9 the pocket and what the tabs become when the case closes. Edition 2.0 adds six parts: the firm's policies and procedures (10), the rule for each document (11), actions (12), the law layer (13), attorney control and audit (14), and the conflicts this edition settles and the decisions it puts to the editor (18). Then measuring (15), conformance (16), the case system (17), what changed from 1.9 (19), the verification record (20), and Appendix A, the document list.
Print this page. Everything below it is the reasoning; this is the desk. The first column gives the tab and the sub-tabs it covers (M1–M9, firm records F; section 2); the second is the standard tab (1–15) that sets the clip and who is told; every clock here is an abbreviation of section 7, which is the authority.
| Tab · sub-tabs | Std | The document is… | Clip (from which date) | Tell |
|---|---|---|---|---|
| M1 · Applicant M1.1–M1.4 | cover | contact, DOB, occupation, wages, representative designation, authorizations, fee agreement and disclosure, demographics sheet | returned mail → fix the address | case manager |
| M2 · Compensability M2.1–M2.3 | 1 | claim form; employer's report; claim accepted / denied / delayed; the firm's notices to the carrier | 90 days from the claim form → presumed compensable (75 for a presumptive injury — the attorney says); the one-year / five-year statute, the attorney's date | attorney |
| M2 · Compensability, continued M2.4, M2.5 | 12, 13 | AOE/COE investigation report; employment and wage records obtained | what is still outstanding | attorney on an investigation; paralegal on records |
| M3 · Medical Treatment M3.1–M3.5 | 5 | DFR; PR-2; RFA; records, imaging; PTP designation, MPN notice; objections (a P&S report is M5 · Med-Legal) | 20 days from receipt (30 unrepresented) to object to a treating determination | nobody; attorney on a determination that changes benefits |
| M4 · UR / IMR M4.1–M4.3 | 8 | UR approval / denial / modification; deferral (UR-DEFER); delay (UR-DELAY); the firm's internal UR appeal | denial or mod → IMR 30 days from service on the employee (10 formulary); deferral / delay → no clock | case manager; attorney on every denial or modification |
| M4 · UR / IMR, continued M4.4–M4.6 | 9 | IMR application; notice of assignment; request for information; determination | NOA → records 15 days (12 electronic; 10 formulary; 24 h expedited); RFI → its date; an uphold → the attorney's 30 days from mailing to appeal | case manager; attorney on an overturn, or an uphold of surgery, homecare or a device |
| M5 · Med-Legal M5.1–M5.3 | 6 | QME panel; strike; AME agreement; appointments; records to and from the evaluator | strike 10 days from assignment (+5 by mail); then 10 business days to schedule; 90 / 120 days from the appointment request; their records → 10 days to object; the firm's → served 20 days before they go | case manager; attorney on the strike, an objection, or anything going to the evaluator |
| M5 · Med-Legal, continued M5.4–M5.7 | 7 | QME / PQME / AME reports; treating P&S (PR-3 or PR-4); supplementals; objections; PD ratings | report due 30 days from exam (+15 good cause); a treating P&S → 20 days from receipt to object; supplemental by the attorney's date, before the MSC; rate it | attorney |
| M6 · WCAB M6.1–M6.4, M6.13 | 2 | application; answer; petition; any Board order except one approving or disapproving a settlement; Findings & Award; Report & Recommendation; Order Suspending Action; letters to the WCJ; civil and other-agency paper | any Board order except an R&R or an OSA → 20 days from service (+5 / +10 / +20 by address; personal service adds nothing) — the attorney says reconsideration or removal; R&R → the Board's 60 days from transmission; OSA → answer it | attorney |
| M6 · WCAB, continued M6.5–M6.8 | 3 | DOR; objection; notice of hearing; minutes; pre-trial statement; proof of service | the hearing date, for the case team; the MSC closes discovery; their DOR → object within 10 days of service (+5 / +10 / +20) | attorney |
| M6 · WCAB, continued M6.9, M6.10 | 12 | depo notice; transcript; written discovery | depo date (≥10 days after service of the notice; ≥20 after a records subpoena issues); response by the date on the request, else the attorney's | attorney |
| M6 · WCAB, continued M6.11, M6.12 | 13 | SDT; subpoena; SDT return; records request; authorization | production date (≥20 days from issuance / 15 from service, the later); custodian 15 days from receipt; what is outstanding | paralegal |
| M7 · Settlement M7.1–M7.4 | 14 | C&R; Stips; proposed order (OACR); award; order approving; MSA; releases | every AME, QME and treating report bearing on adequacy filed with it; 20 days from service of the award (+5 / +10 / +20 by address); payment by the order's date, else a 30-day check | attorney |
| M7 · Settlement, continued M7.5–M7.8 | 15 | lien claim; lien conference notice; lien claimant letters; lien resolution | conference date (appear, or the lien is dismissed or deferred); lien filed within 18 months of the services? | paralegal; attorney on a late lien |
| M8 · Indemnity & Costs M8.1–M8.4 | 10 | TD/PD notices; PD advance; offer of work; SJDB voucher; return-to-work report; benefit demands; wage requests; SDI, SSDI, LTD, unemployment notices | verify the rate; offer of work → attorney the same day | case manager; attorney on the offer |
| M8 · Indemnity & Costs, continued M8.5–M8.7 | 11 | checks; EOBs; mileage; penalties; bills; withholding orders | reconcile; first TD payment due 14 days after knowledge of the injury and disability — a late one is increased 10% | bookkeeping |
| M9 · Correspondence M9.1–M9.3 | 4 | letters to and from carrier / defense / client; an administrator writing for an unnamed client; substitutions and adjuster changes | reply-by date on the letter; undisclosed liable entity → request disclosure | case manager; attorney on the disclosure |
| F · Firm records F.1–F.3 | — | memos, internal notes, searches, e-service / e-filing / fax confirmations, calendar invitations, system bundles, the retention record | — | nobody |
| — | the reasons in section 9 — unreadable or undated; two documents in one scan; no client found; several cases the facts do not decide; the firm's own records for the evaluator; not a case at all | a person decides today | case manager; attorney where section 9 says so |
A workers' compensation case file has always been an accordion folder with labeled tabs. Every piece of paper goes behind exactly one tab; the due items are clipped to the document; anyone can pick the file up and know where things are. The case file is that folder, and nothing more — incoming mail is only the most frequent way a document reaches it. For every document there are three questions:
Everything else — how the document is read, matched to its case, named, filed, verified — is procedure in service of those three answers. A piece that cannot be answered goes in the pocket (section 9) for a person; nobody guesses. Two words are used throughout: the queue is everything that has entered and is not yet filed; the pocket is the part of the queue the procedure could not finish, each piece with its reason.
Edition 2.0 adds what the folder always implied. Filing a document answers the three questions; it does not answer what do we do about it? That is an action (section 12) — offered when the document is filed, decided by the attorney, started by a person. And no two firms keep the folder alike: each firm's differences from this page — its tabs and names, its people, its earlier dates, its extra notices — are recorded as its policies and procedures (section 10) and applied through a rule for each kind of document (section 11). The clocks' law is never among the things a firm may change.
Edition 1.9 put fifteen tabs across the front of the folder. They were right about what goes together and how each kind of paper is clipped and reported, and edition 2.0 keeps every one of them. What changes is what the clerk sees first. The folder now opens on nine tabs, each named in the term of art the bar already uses for that part of a case — the applicant, compensability, medical treatment, UR and IMR, med-legal, the WCAB, settlement, indemnity and costs, correspondence — and the fifteen become the standard tabs beneath them: the sources of the sub-tabs, and the unit on which every clock, every "told" and every TYPE code in this standard is still defined.
| Code | Tab | The term of art, and the law it names | Its sub-tabs | Standard tabs (1.9) |
|---|---|---|---|---|
| M1 | Applicant | the injured worker, the firm's client — 1.9's cover | M1.1 Intake & identity · M1.2 Authorizations & HIPAA · M1.3 Fee agreement & disclosure · M1.4 Contact & address | cover |
| M2 | Compensability | AOE/COE — whether the injury arose out of and in the course of the employment — LC 3600(a); LC 5402(b) | M2.1 Claim form & employer's report · M2.2 Acceptance, denial & delay · M2.3 Notices to the carrier · M2.4 AOE/COE investigation · M2.5 Employment & wage records | 1; parts of 12 and 13 |
| M3 | Medical Treatment | PTP — the treatment the employer provides, managed by the primary treating physician — LC 4600(a), (d); 8 CCR 9785(a) | M3.1 PR-2 & treating reports · M3.2 Requests for authorization · M3.3 Medical records & diagnostics · M3.4 PTP designation & MPN · M3.5 Objections (LC 4062) & letters to the treater | 5 |
| M4 | UR / IMR | utilization review of a treatment request, and independent medical review of a denial or modification — LC 4610; LC 4610.5 | M4.1 UR determinations · M4.2 Deferrals & delays · M4.3 Internal UR appeal · M4.4 IMR application · M4.5 IMR assignment & RFI · M4.6 IMR determinations | 8, 9 |
| M5 | Med-Legal | QME and AME evaluation of a disputed medical issue — LC 4062, 4062.2 | M5.1 QME panel & AME agreement · M5.2 Appointments · M5.3 Records to the evaluator · M5.4 QME & AME reports · M5.5 P&S reports (PR-3 / PR-4) · M5.6 Supplementals & objections · M5.7 PD ratings (DEU) | 6, 7 |
| M6 | WCAB | the case before the Appeals Board: pleadings, orders, hearings, discovery | M6.1 Application & answer · M6.2 Petitions · M6.3 Orders, findings & award · M6.4 Filings & letters to the WCJ · M6.5 DOR & objections · M6.6 Notices of hearing · M6.7 Minutes & pre-trial statements · M6.8 Proofs of service · M6.9 Depositions · M6.10 Written discovery · M6.11 Subpoenas (SDT) · M6.12 Records requests & SDT returns · M6.13 Civil & other agencies | 2, 3, 12, 13 |
| M7 | Settlement | compromise and release, stipulations, the Board's approval — and the liens against the compensation — LC 4903 | M7.1 C&R & stipulations · M7.2 OACR & award · M7.3 Negotiation & walk-through · M7.4 MSA & releases · M7.5 Liens (LC 4903) · M7.6 Lien conferences · M7.7 Lien claimant correspondence · M7.8 Lien resolutions | 14, 15 |
| M8 | Indemnity & Costs | TD, PD and the SJDB voucher; money paid and owed; penalties — LC 5814 | M8.1 TD & PD notices · M8.2 SJDB & return to work · M8.3 Benefit demands & wage requests · M8.4 Offsets (EDD-SDI, SSDI, LTD) · M8.5 Indemnity payments & mileage · M8.6 Bills & bill review · M8.7 Tax & withholding · M8.8 Penalties & interest · M8.9 Costs advanced · M8.10 Trust & disbursement · M8.11 Attorney fees | 10, 11 |
| M9 | Correspondence | letters to and from the carrier, the defense, the client and others | M9.1 Received · M9.2 Sent · M9.3 Substitutions & adjuster changes | 4 |
| F | Firm records | the firm's own working records about the file (below) | F.1 Made by the firm · F.2 Notes & saved items · F.3 Transmission & system records | — (new in 2.0) |
| — | what the procedure could not finish, each piece with its reason (section 9) | — |
The authorities in the second column say what the term of art means, so that a firm and a reader agree on what belongs behind the tab; they are not clocks (section 7 is). LC 3600(a) (liability "for any injury … arising out of and in the course of the employment"); LC 4600(a), (d) and 8 CCR 9785(a) (treatment the employer provides; the predesignated personal physician; the primary treating physician); LC 4610, 4610.5 (utilization review; independent medical review); LC 4062, 4062.2 (objection to a treating physician's determination; the panel); LC 4903 (the liens the Appeals Board may allow); LC 5814 (the increase for unreasonable delay or refusal). Each was checked on 2026-10-06 (section 20).
Each of the nine tabs has a code, in the order the tabs stand across the folder: M1 Applicant, M2 Compensability, M3 Medical Treatment, M4 UR / IMR, M5 Med-Legal, M6 WCAB, M7 Settlement, M8 Indemnity & Costs, M9 Correspondence. A sub-tab's code is its tab's code and its place within that tab — M4.1 is the first sub-tab of M4 · UR / IMR, M6.13 the thirteenth of M6 · WCAB. Firm records are F, and their sub-tabs F.1, F.2, F.3. The pocket has no code: nothing is filed in it. The codes this page prints — in the clerk's sheet, the sub-tab table, the examples and Appendix A — are those of the standard's own order, the baseline a firm starts from.
So a firm that moves Deferrals & delays above UR determinations sees it as M4.1 from then on; every rule, filing and note that pointed to it still points to it, because each points to its identifier, not to "M4.2". A code printed on a page or written in a note is a reading aid for the day it was written; the identifier is the reference. A tab or sub-tab a firm adds gets an identifier the same way and takes its code from where the firm puts it.
The fifteen are unchanged in substance from edition 1.9, with the additions this edition makes marked in their rows. "Told" names a role; the firm's own people fill the roles (decision D5, section 18). "Produces" is the artifact the tab leaves behind besides the filed document. The first column gives the nine-tab home of each, and the sub-tabs it fills.
| Std tab · in | Tab | What goes behind it | What is clipped to it | Told | Produces |
|---|---|---|---|---|---|
| 1 → M2 Compensability M2.1–M2.3 | Claim & Denials | claim form, acceptance, denial or delay of the claim itself, 90-day letters | objection / DOR; the 90-day presumption date, which runs from the claim form, not the letter (75 days for the presumptive injuries of LC 3212–3212.85 and 3212.9–3213.2 — the attorney says whether the injury is one; decision D4); the statute: one year to commence proceedings, five years for new and further disability (the attorney sets it) | attorney | task: objection; calendar: 90-day date; calendar: statute |
| 2 → M6 WCAB M6.1–M6.4, M6.13 | Pleadings & Orders | application, amended application, the answer, petitions, Board orders, Findings & Award, the judge's Report & Recommendation, an Order Suspending Action; civil and other-agency paper (a third-party action, a Labor Commissioner or civil-rights agency notice) | any Board order except an R&R or an OSA → 20 days from service (+5 / +10 / +20 by the address served; personal service adds nothing) — the clerk clips the 20 days either way, and the attorney says whether the petition is reconsideration (a final order) or removal (an interlocutory one); an R&R → the Board's 60 days to act run from transmission; an OSA → answer with the information asked for, or expect a hearing; other orders → their response dates | attorney | calendar: recon deadline; task: response |
| 3 → M6 WCAB M6.5–M6.8 | Hearings | notices of hearing (MSC, trial, expedited), the firm's own DORs and their confirmations, minutes, pre-trial statements, proofs of service | the hearing date and time, calendared for the case team; a prep task a week before where the firm's rule asks for one; an MSC closes discovery — anything still wanted (a supplemental, a deposition, records) is ordered before it; the other side's DOR → objection within 10 days of service (+5 / +10 / +20 by address; decision D2) | attorney | calendar: hearing; task: DOR objection; task: prep (the firm's choice) |
| 4 → M9 Correspondence M9.1–M9.3 | Correspondence | letters to and from carrier, defense, client; general notices; representation letters; letters from a third-party administrator | reply-by dates when the letter states one; an administrator that has not disclosed its client (carrier or self-insured employer) and any high-retention or deductible provision → request the disclosure | case manager; attorney on an undisclosed liable entity | task: reply; task: disclosure request (section 8a, Coldiron) |
| 5 → M3 Medical Treatment M3.1–M3.5 | Treating Medical | PR-2 progress reports, treating reports, records, RFAs, operative reports, imaging (a treating physician's P&S report — PR-3 or PR-4 — is Tab 7) | outstanding records requests; 20 days from receipt (30 if unrepresented) to object to a treating physician's medical determination | nobody; attorney on any determination that changes benefits (work status, a treatment the carrier will deny — a P&S report is Tab 7) — the attorney decides whether to object | task: objection (when the attorney says so) |
| Std tab · in | Tab | What goes behind it | What is clipped to it | Told | Produces |
|---|---|---|---|---|---|
| 6 → M5 Med-Legal M5.1–M5.3 | Med-Legal Scheduling | QME panel list, strike, appointment notices, AME agreements, cancellations, advocacy letters, the opposing party's proposed records or communications to the evaluator | 10-day strike (+5 by mail) from panel assignment, then 10 business days to schedule the evaluation; the appointment (client told, interpreter, transport); 90 / 120 days from the appointment request (no appointment → waiver or replacement panel); 10 days to object to the other side's nonmedical records; the firm's own records to the evaluator served on the other side 20 days before they go, every communication in writing and served | case manager; attorney on the strike, an objection, or anything going to the evaluator | calendar: appointment; task: notify the client, interpreter, transport (case manager); task: strike; task: objection; proof of service on what the firm sends |
| 7 → M5 Med-Legal M5.4–M5.7 | Med-Legal Reports | QME, PQME, AME, the treating physician's P&S report (PR-3 or PR-4), supplementals, re-evaluations, PD ratings | the report is due 30 days from the exam (+15 for good cause) — a late report gives either party a new evaluation; a treating P&S → 20 days from receipt to object; objection / supplemental request otherwise by the attorney's date (no statutory period; discovery closes at the MSC); rate it; deposition of the evaluator | attorney | rating (the attorney, or the paralegal the attorney names); task: objection or supplemental |
| 8 → M4 UR / IMR M4.1–M4.3 | UR | utilization review approvals, denials, modifications, deferrals, delays | denial or modification → 30-day IMR appeal from service of the decision on the employee (10 days for a formulary dispute); a deferral (UR-DEFER) or a delay (UR-DELAY) gets no IMR clock — deferral → repeat the request when liability is settled; delay → wait for the decision | case manager; attorney on every denial or modification | IMR packet (denial/mod); note (deferral) |
| 9 → M4 UR / IMR M4.4–M4.6 | IMR | notices of assignment, requests for information, decisions, the firm's own appeal packets | NOA → supporting records within 15 days (12 if the notice was electronic; 10 for a formulary drug; 24 hours on an expedited review); RFI → respond by its date; decision → overturned: treatment authorized; upheld: next medical step, and the attorney's 30 days from mailing to appeal at the Board (LC 4610.6(h)) | case manager; attorney on an overturn, or an uphold of surgery, homecare or a device | task: supporting records (NOA); task on an RFI; note on the case (IMR status) |
| 10 → M8 Indemnity & Costs M8.1–M8.4 | Benefits Notices | TD start/stop/rate, PD advances, offer of modified/alternative work, SJDB voucher, mileage-rate notices (a mileage payment or EOB is Tab 11); notices of other benefits that may offset or lien — SDI, SSDI, long-term disability, unemployment | the amount or rate to verify; an offer of work moves PD ±15% for 2005–2012 injuries and decides the SJDB voucher for 2013+ injuries — and only a bona fide offer counts: regular work (equivalent wages) or modified / alternative work (≥85% of wages), within a reasonable commute, as § 4658.1 defines them — and, for 2013+ injuries, lasting at least 12 months (§ 4658.7(b)(2)) and made within the § 4658.7(b)(1) window; a defective offer means the voucher is owed | case manager; attorney on an offer of work | task: verify; note on the case (rating facts) |
| 11 → M8 Indemnity & Costs M8.5–M8.7 | Money | checks, EOBs, mileage payments, penalty payments, med-legal bills | trust handling; amounts to reconcile; the first TD payment — due 14 days after the employer knows of the injury and disability, and a late one is increased 10% without application (LC 4650(a), (d)) | bookkeeping | ledger entry |
| Std tab · in | Tab | What goes behind it | What is clipped to it | Told | Produces |
|---|---|---|---|---|---|
| 12 → M6 WCAB M6.9, M6.10 (investigation: M2.4) | Depositions & Discovery | deposition notices, transcripts, written discovery requests, investigation reports (an investigation is filed at M2 · Compensability) | deposition date (at least 10 days after service of the notice; 20 after a records subpoena issues); response date — the date on the request, else the attorney sets it | attorney | calendar: deposition; task: response |
| 13 → M6 WCAB M6.11, M6.12 (employment records: M2.5) | Subpoenas & Records | subpoenas duces tecum, subpoenas, SDT returns, records requests, authorizations, employment and wage records obtained (filed at M2 · Compensability) | production date (no earlier than 20 days from issuance or 15 from service, the later); the custodian has 15 days from receipt; what is still outstanding | paralegal | task: response; records log |
| 14 → M7 Settlement M7.1–M7.4 | Settlement | C&R, Stipulations with Request for Award, the Award, order approving, MSA | every AME, QME and treating report bearing on adequacy is filed with the settlement (Tabs 5 and 7 feed this tab; nothing withheld); recon window after the award; payment due date; a disputed fee may be held in trust while the C&R is approved | attorney | calendar: recon; task: payment check |
| 15 → M7 Settlement M7.5–M7.8 | Liens | lien claims, lien conference notices, lien claimant correspondence, lien resolutions | lien conference date (appear, or the lien is dismissed or deferred); whether the lien was filed within 18 months of the date the services were provided (3 years for services before July 2013) | paralegal; attorney on a late lien | lien log; task: late-lien objection (when the attorney says so) |
| cover → M1 Applicant M1.1–M1.4 | Client & Intake | contact, DOB, occupation, wages, representative designation, authorizations, fee agreement, the firm's demographics sheet | the facts a rating or an IMR packet keeps needing; a returned envelope means the address is wrong | case manager | contact update |
| firm records → F F.1–F.3 | Firm records | the firm's own working records about the file (below) — new in 2.0 | nothing | nobody | — |
| Can't tell / not a case | the reasons in section 9: unreadable or undated documents, two documents in one scan, no client found, several cases the facts do not decide, the firm's own records for the evaluator, and what is not a case at all (firm mail, marketing) | a person decides | case manager; attorney where section 9 says so | — |
Each of the nine tabs is divided into sub-tabs — the dividers inside one section of the brown folder. A sub-tab is drawn from one standard tab, and the table below says which; that is how a document filed under a sub-tab is still clipped and reported exactly as edition 1.9 says. Three rules hold whatever the firm does with them:
The baseline: sixty-two sub-tabs across the nine tabs, and three under firm records, each with its code in the standard's order — the codes a firm's folder starts from and renumbers when the firm reorders (the identity rule, above). The number beside each is how many document kinds of the document list (Appendix A) sit under it; gap area marks a sub-tab that places work edition 1.9 had no divider for, and named area a sub-tab that gathers pointers to documents filed elsewhere.
| Tab | Code | Sub-tab | Drawn from standard tab | Kinds |
|---|---|---|---|---|
| M1 · Applicant | M1.1 | Intake & identity | cover | 2 |
| M1.2 | Authorizations & HIPAA | cover | 1 | |
| M1.3 | Fee agreement & disclosure | cover | 1 | |
| M1.4 | Contact & address | cover | 1 | |
| M2 · Compensability | M2.1 | Claim form & employer's report | 1 | 2 |
| M2.2 | Acceptance, denial & delay | 1 | 2 | |
| M2.3 | Notices to the carrier | 1 | 1 | |
| M2.4 | AOE/COE investigation gap area | 12 | 1 | |
| M2.5 | Employment & wage records gap area | 13 | 1 | |
| M3 · Medical Treatment | M3.1 | PR-2 & treating reports | 5 | 2 |
| M3.2 | Requests for authorization | 5 | 1 | |
| M3.3 | Medical records & diagnostics | 5 | 2 | |
| M3.4 | PTP designation & MPN | 5 | 2 | |
| M3.5 | Objections (LC 4062) & letters to the treater | 5 | 2 | |
| M4 · UR / IMR | M4.1 | UR determinations | 8 | 3 |
| M4.2 | Deferrals & delays | 8 | 3 | |
| M4.3 | Internal UR appeal | 8 | 1 | |
| M4.4 | IMR application | 9 | 1 | |
| M4.5 | IMR assignment & RFI | 9 | 2 | |
| M4.6 | IMR determinations | 9 | 1 | |
| M5 · Med-Legal | M5.1 | QME panel & AME agreement | 6 | 5 |
| M5.2 | Appointments | 6 | 5 | |
| M5.3 | Records to the evaluator | 6 | 3 | |
| M5.4 | QME & AME reports | 7 | 2 | |
| M5.5 | P&S reports (PR-3 / PR-4) | 7 | 1 | |
| M5.6 | Supplementals & objections | 7 | 2 | |
| M5.7 | PD ratings (DEU) gap area | 7 | 2 | |
| M6 · WCAB | M6.1 | Application & answer | 2 | 6 |
| M6.2 | Petitions | 2 | 7 | |
| M6.3 | Orders, findings & award | 2 | 7 | |
| M6.4 | Filings & letters to the WCJ | 2 | 2 | |
| M6.5 | DOR & objections | 3 | 2 | |
| M6.6 | Notices of hearing | 3 | 3 | |
| M6.7 | Minutes & pre-trial statements | 3 | 3 | |
| M6.8 | Proofs of service | 3 | 1 | |
| M6.9 | Depositions | 12 | 4 | |
| M6.10 | Written discovery | 12 | 2 | |
| M6.11 | Subpoenas (SDT) | 13 | 3 | |
| M6.12 | Records requests & SDT returns | 13 | 3 | |
| M6.13 | Civil & other agencies gap area | 2 | 3 | |
| M7 · Settlement | M7.1 | C&R & stipulations | 14 | 4 |
| M7.2 | OACR & award | 14 | 2 | |
| M7.3 | Negotiation & walk-through | 14 | 2 | |
| M7.4 | MSA & releases | 14 | 2 | |
| M7.5 | Liens (LC 4903) | 15 | 1 | |
| M7.6 | Lien conferences | 15 | 1 | |
| M7.7 | Lien claimant correspondence | 15 | 1 | |
| M7.8 | Lien resolutions | 15 | 1 | |
| M8 · Indemnity & Costs | M8.1 | TD & PD notices | 10 | 2 |
| M8.2 | SJDB & return to work | 10 | 2 | |
| M8.3 | Benefit demands & wage requests | 10 | 2 | |
| M8.4 | Offsets (EDD-SDI, SSDI, LTD) gap area | 10 | 4 | |
| M8.5 | Indemnity payments & mileage | 11 | 2 | |
| M8.6 | Bills & bill review | 11 | 2 | |
| M8.7 | Tax & withholding | 11 | 2 | |
| M8.8 | Penalties & interest named area ↗ Petition — penalties (LC 5814) · M6.2 Petitions ↗ Payment — penalty payment · M8.5 Indemnity payments & mileage | — (pointers) | 0 | |
| M8.9 | Costs advanced named area ↗ Bill or invoice — copy service / court reporter · M8.6 Bills & bill review ↗ Expense reimbursement · M8.5 Indemnity payments & mileage | — (pointers) | 0 | |
| M8.10 | Trust & disbursement named area ↗ Payment — settlement check / settlement disbursement receipt · M8.5 Indemnity payments & mileage ↗ Income withholding order · M8.7 Tax & withholding | — (pointers) | 0 | |
| M8.11 | Attorney fees named area ↗ Petition — attorney's fees / 5710 deposition fees / 5811 costs · M6.2 Petitions ↗ Order — on 5710 fees / on 5811 costs · M6.3 Orders, findings & award ↗ Notice of Intention — divide attorney fees · M6.3 Orders, findings & award ↗ Fee agreement — client fee agreement / Fee Disclosure Statement / attorney fee division agreement · M1.3 Fee agreement & disclosure | — (pointers) | 0 | |
| M9 · Correspondence | M9.1 | Received | 4 | 2 |
| M9.2 | Sent | 4 | 2 | |
| M9.3 | Substitutions & adjuster changes | 4 | 1 | |
| Firm records | F.1 | Made by the firm | firm records | 2 |
| F.2 | Notes & saved items | firm records | 4 | |
| F.3 | Transmission & system records | firm records | 3 |
Five kinds of paper arrive on real files that edition 1.9 named nowhere, and four kinds of money work had no divider. Each is placed under one of the nine tabs; none needs a tab of its own. Each is filed as CORR unless its kind has a code of its own, and none carries a clock of its own in this edition beyond those section 7 already states.
| Gap area | Placed | What goes there | Why there |
|---|---|---|---|
| Ratings | M5 · Med-Legal › M5.7 PD ratings (DEU) · standard tab 7 | the attorney's PD rating, a DEU rating, a request for a consultative rating | a rating is made from the med-legal or treating P&S report beside it, and standard tab 7's own clip says "rate it". (The RATING code remains a gap, section 5.) |
| Offsets and other benefits | M8 · Indemnity & Costs › M8.4 Offsets · standard tab 10 | State Disability Insurance notices and liens, Social Security disability notices, long-term-disability and unemployment-insurance notices | they bear on what the worker is paid and on any lien or credit — an EDD lien is one of the liens LC 4903 lets the Board allow — which is the attorney's question; the clerk files and tells the case manager. |
| Employment & wage records | M2 · Compensability › M2.5 Employment & wage records · standard tab 13 | personnel file, job description, wage statements, incident and police reports, the adjuster's claim notes, resignation or severance papers | they are records obtained (standard tab 13's clips and log still apply), and what they prove is employment, the injury's circumstances and the wage — compensability and its rate. |
| Civil & other agencies | M6 · WCAB › M6.13 Civil & other agencies · standard tab 2 | the Special Notice of Lawsuit, third-party civil action paper, notices from another agency (Labor Commissioner, a civil-rights agency, Cal/OSHA) | each bears on the Board case — a credit, a lien, a parallel claim — and the attorney decides what it means. |
| Penalties & interest · costs advanced · trust & disbursement · attorney fees | M8 · Indemnity & Costs, four named areas (M8.8–M8.11) | pointers to the documents that decide each: a petition for penalties (LC 5814), a late indemnity payment and its 10 percent increase (LC 4650(d)); the firm's costs and their reimbursement; a settlement check and its disbursement; fee petitions, fee orders, a notice of intention to divide fees, the fee agreement | the documents are filed where they are acted on (a petition at M6.2, a fee agreement at M1.3); the named area lets the person who keeps the money see all of it in one place. No fee is demanded or accepted until the Board approves it (section 8a, Gaines). |
Not everything about a file is a document of the case. A firm keeps its own working records about the file: an attorney's memo or initial file review, an internal case note, an e-service or e-filing confirmation, a fax confirmation, a saved EAMS or insurance-coverage search, a calendar invitation, a combined PDF the case system assembled, and the record of the file's retention and destruction. Edition 1.9 gave them no home, so they were filed as correspondence and, by CORR's rule, behind standard tab 4 — where they buried the letters.
FIRM-RECORD (section 5), is named to the same grammar, carries no clock and tells nobody. It is the firm's, not the case's: it is not "information" sent to an evaluator, not part of a settlement record, and not produced with the file unless the attorney decides it is. A firm record that becomes a document of the case — a memo that becomes a letter that is sent — is filed again as what it became, under its tab, and the note on each says so.Three sub-tabs hold the firm records: Made by the firm (a produced case report or chronology; the EAMS document cover and separator sheets), Notes & saved items (internal notes, an email saved to the case, calendar invitations, search results) and Transmission & system records (e-service, e-filing and fax confirmations; the system's combined PDF; the retention and destruction record). An email saved to the case is correspondence, not a firm record — it carries CORR — and a transmission confirmation is not a proof of service (a proof of service is POS, filed beside what it served).
A brown folder had three things that were not behind any tab: the index on the inside cover, the chronology a clerk kept beside it, and the knowledge of where the original of each paper actually was. The case file keeps all three — but none of them is a document a person maintains by hand. Each is derived from the file, because a hand-kept index is a second record, and a second record drifts.
| Part of the spine | What it is | Where it comes from | Rule |
|---|---|---|---|
| The index | every document in the file, by tab and sub-tab, in the order filed — name, document date, source, the clip if any | the case system's own document list, read by tab (the tag family) — never a separate list | It is a view, not a document. A document belonging to two tabs appears once, under the tab where it is acted on; the filing note names the other. |
| The chronology | the same documents in the order of their own dates, across tabs, with the clips and the diary notes between them | produced from the file on request (section 4: a produced document, dated when produced, citing what it was made from) | Produced for a hearing, a settlement or an audit; filed to the tab it serves; regenerated as _vNN the same day, a new document on a later one. It never states a fact the documents do not. |
| The original | the copy that carries legal weight: a wet signature, a court-served copy, a certified record | the filing note — which says, for every document, the way in and where the original is | The file's record is the filed copy on the case system. A document served electronically is the original. A wet-signature paper (the client's signed designation or settlement, a notarized instrument) is kept as the firm's retention rule says, and the note says where; a scan whose paper was destroyed under that rule says so. |
The diary note written at step 9 is the file's narrative, and the spine is read from it. One note per filing, and it carries, in this order (nine lines in 2.0; 1.9 had seven):
| Line | Content | Why it is there |
|---|---|---|
| 1 | the filed name and its place: the sub-tab by its identifier, with the code and label it had when filed | the index is read from it; the identifier keeps the line true after a rename or a reorder (section 2, the identity rule) |
| 2 | the way in (mail, fax, e-mail, e-service, portal, records, the client; or made / produced) and the date received or made | the received date lives here, never in the name (section 4); provenance answers "how do we have this?" |
| 3 | where the original is, when it is not the filed copy | the spine's third part |
| 4 | each clip: the clock, the date it runs from, the due date (section 7) | the chronology and the tickler are read from it |
| 5 | the role told (section 1's five answers), and any notice the firm's rule adds | the person is notified from this line; nobody is told where it says nobody |
| 6 | a disagreement between the document and the file, stated as a finding (section 8) | never silently preferred |
| 7 | a cross-reference: the other tab a two-tab document belongs to; the document a produced one was made from; a second copy received and set aside | the index shows a document once; the note shows its relations |
| 8 | the rule that produced the filing, by its identifier, and its version — or "by hand" — and the edition of this standard followed (new in 2.0) | anyone can ask why the document is where it is (section 14) |
| 9 | what matched the case: the name, and each identifier that agreed, was missing or disagreed — "Matched on: name only; the claim number on the document differs from the file" (new in 2.0) | the doubt is on the file, not in someone's memory (section 3, step 3) |
This is the whole procedure. It is the same by hand and by machine; this page is enough for either.
Applicant, the party it acts for. The tab, the clip, the person told and the proof are the same for all three.YYYY-MM-DD_TYPE_Source_Descriptor_fNNNNN.ext. The name says what it is, from whom, when, and which file it belongs to.Processing time per piece by hand (not drafting or assembly time): two to five minutes where no clock is clipped (Tab 11 and the cover); ten to twenty everywhere else, where a clock or an artifact is produced.
Every filed document is named by this standard's grammar. One grammar, no exceptions but the departures a firm's policies and procedures record (section 10; decision D1) — and no filing name exists before filing: a received scan keeps its scanner name and the firm's draft its working name until the three questions are answered.
YYYY-MM-DD_TYPE_Source_Descriptor[_vNN][_pNNofNN]_fNNNNN.ext
| Segment | Rule | Examples |
|---|---|---|
YYYY-MM-DD | The document's own date, ISO form. A report's date is its evaluation or signature date; an order's is the date it was issued; a letter's is its letter date. Never the scan date, the received date, or a date of birth. A made document's date is its signed or sent date. An undated received document, after a person's decision in the pocket, carries the postmark or fax-header date, and the note says so. | 2026-07-23 |
TYPE | One code from the controlled vocabulary (section 5), UPPERCASE, letters/digits/hyphens, at least one letter. The code decides the tab (or narrows it to the tabs its row lists) and carries the EAMS identity. | AME, UR-DENIAL, DOR, 132A |
Source | Who the document is from. A physician is Dr-First-Last; a party is Applicant or Defense; an institution is its short name: Carrier (or the carrier's name), WCAB, DWC, IMR-Org, Hospital (or its name), Reporter for a court reporter. Letters, digits, hyphens only. The firm's own outgoing paper carries Applicant — the party the firm acts for — and its Descriptor says what it is (Notice-of-Representation, Objection-to-Records, Firm-Letter-to-Client). The Source is the entity as disclosed: a third-party administrator is not the liable party — name the carrier or self-insured employer it administers for once that is disclosed, and until then name the administrator and clip the disclosure request (Tab 4). | Dr-Jane-Roe, Carrier, WCAB |
Descriptor | What it is, in 1–40 characters of Title-Case words joined by hyphens; acronyms stay UPPERCASE (PS, MRI, TD, EOB, SJDB). Say the thing, not the tab: Claim-Denial, Offer-of-Modified-Work, 3rd-Evaluation. For UR and IMR, the treatment or the outcome: Surgery, Medication, Overturned. | Findings-and-Award |
_vNN | Optional. A later version of the same document from the same source on the same date — an amended report, a corrected order. _v02 is the second version; the first carries no suffix. | _v02 |
_pNNofNN | Optional. A document that arrives in parts (a transcript in two volumes, a record set in three mailings). | _p01of02 |
_fNNNNN | The firm's own file number for the case the document is filed on — lowercase f and the digits as the firm assigns them, always last, immediately before the extension. It is the one identifier a name carries, and it is there for one reason: a file that leaves the case system — attached to an email, produced on a drive, dropped in a shared folder — has nothing left but its name, and this segment says which file it came out of. It is written from the case the document is filed on, at the moment of filing; it is never read off the document's face. A document whose case is not yet decided has no filing name at all — it is in the pocket — so there is no such thing as a name with the segment missing. It does not travel: a document refiled to a different case is renamed. Not the ADJ number, not the claim number, not the case system's internal id. | _f32560 |
.ext | The real file type, decided from the bytes, lowercase: pdf, docx, xlsx, jpg. A Word file named .pdf is renamed to what it is. | .pdf |
A draft is not in the case file. It lives in the firm's drafting space under whatever working name its author gave it, and it enters the file at one event — the made event: the moment it is sent, filed with the Board, or signed. That event gives it its date and its filing name; nothing before it is filed.
| Stage | Where it is | Its name | Rule |
|---|---|---|---|
| Draft, redline, internal review copy | the drafting space — not the file, not the queue | a working name; no grammar applies | Not filed. A draft is an unsigned, unsent document; the word never appears in a filing name. A firm that keeps redlines keeps them in the drafting space. |
| Sent, filed with the Board, or signed | enters the file — step 2 of the procedure, as a made piece | the grammar: date = the sent / filed / signed date; Source = Applicant; Descriptor says what it is | The copy filed is the copy that went — the PDF as sent, with its proof of service beside it (POS, same tab). It is one document; it starts its clocks (section 7). |
| Sent to a party for signature | the file, Tab 14 (or the document's own tab) | Descriptor Sent-for-Signature | Filed once, when it goes. It is not replaced when the signed copy returns. |
| The signed copy comes back | the file, beside the sent one — a received piece | date = the signature date; Descriptor Signed (EAMS: the …-SIGNED title where one exists) | A second document, not a version: different date, different content. Its clocks are its own (a signed C&R → filed for approval, section 7). |
| Corrected or amended the same day, by the firm | the file, same tab | same name with _v02 | The first copy stays; the later version carries the suffix; the note says what changed. |
| Amended on a later date | the file, same tab | a new name with its own date; Descriptor Amended-… | A new document. The original is not renamed and not removed. |
| Produced by the case system (a rating, a chronology, a report) | the file, the tab its subject belongs to | date = the date produced; Source Applicant; Descriptor names the product | Regenerated the same day → _vNN; on a later date → a new document. A produced document is never the only record of a fact — it cites the documents it was made from. |
| Withdrawn or superseded before it was sent | the drafting space | — | Never entered the file; nothing to file, nothing to note. |
_vNN). Those belong in the filing note. The firm's file number (_fNNNNN) is the single exception, and the reason it is one is that it identifies the file, not the person: it is the firm's own index number, it discloses nothing about the injured worker, and it is what keeps a name meaningful once the document is outside the case system.Surgery vs Medication). If nothing distinguishes them, the second is _v02 — and a person confirms it is not the same document twice.A firm's rule (section 11) writes a document's name as a pattern of tokens. The standard's grammar, as a pattern, is:
{date}_{type}_{source}_{descriptor}[_v{nn}][_p{nn}of{nn}]_f{file}.{ext}
| Token | Fills with | Standing |
|---|---|---|
{date} | the document's own date, YYYY-MM-DD | standard — every pattern begins with it |
{type} | the TYPE code | standard |
{source} (also {sender}) | the Source segment: who the document is from | standard |
{doctor} | the physician, Dr-First-Last — the Source when the author is a physician | standard |
{descriptor} | the Descriptor; where nothing more specific is known, the document kind's short name | standard |
{document} | the document kind's short name (Appendix A), e.g. ur-denial | standard, inside the Descriptor |
{decision} | the decision a document records, in one word: approved, modified, denied, deferred, delayed, overturned, upheld | standard, inside the Descriptor |
v{nn} · p{nn}of{nn} | version; part | standard, optional |
{file} (also {case}) | the firm's file number for the case filed on, written f{file} | standard — always last |
{received} | the date received | departure — the received date belongs in the note (line 2) |
{client-last} · {client} | the client's surname; full name | departure (decision D1) |
{adj} | the ADJ number | departure |
{date}; carries one identifier of the case filed on — f{file}, or {client-last} as a recorded departure — so that a check can compare the name with the case it is filed on; produces a name within the length limits above; and is built, never typed. No token exists for a Social Security number, a date of birth or a claim number, and none may be added. A pattern that uses hyphens only, or a departure token, is recorded in the firm's policies and procedures (section 10) and shown in "compare with the standard".The legal standard behind the names is EAMS — the DWC/WCAB electronic filing system's document types and titles, which EAMS validates on e-filing and JET filing. In an ADJ case a filer may use only four document types — LEGAL DOCS, LIENS AND BILLS, MEDICAL DOCS, MISC — and the title is selected from DWC's Document Titles List, never typed: a title not on the list is not accepted, and a document with no matching title is filed as MISC · CORRESPONDENCE-OTHER (8 CCR 10205.12(b)(3); EAMS e-form filers' guide, incorporated by 8 CCR 10206). A letter to the judge that needs immediate attention is filed under TYPED OR WRITTEN LETTER (it generates a judge task) — a CORR at Tab 2 with that title; ordinary CORRESPONDENCE-OTHER does not. Titles marked Board-issued are generated by the court; a filer may not use AWARD, ORDER or NOTICE OF INTENT. Each TYPE code below pairs with its EAMS document type and title, and where one exists, the DWC or WCAB form number as printed on the form. The pairing is why the same name works for the folder, the case system, and the Board. Checked 2026-08-28 against DWC's own title lists, guides and the forms themselves — section 20 names each. The Tab column gives the standard tab (1–15).
| TYPE | Meaning | Tab | EAMS document type · title | Form |
|---|---|---|---|---|
BENEFITS | benefit notice (claim accepted/denied/delayed; TD/PD notices; offer of work; SJDB) | 1, 10, 11 — the claim itself (acceptance, denial, delay) → 1; a rate, an offer or a voucher → 10; a check → 11 | LEGAL DOCS · BENEFIT NOTICE (also NOTICE OF PERMANENT DISABILITY BENEFITS; NOTICE OF TEMPORARY DISABILITY BENEFITS) | — |
APP-ADJ | application for adjudication (and amended) | 2 | LEGAL DOCS · APPLICATION FOR ADJUDICATION (death claim: APPLICATION FOR ADJUDICATION OF CLAIM-DEATH) | WCAB 1 |
ANSWER | answer to the application | 2 | LEGAL DOCS · ANSWER TO APPLICATION FOR ADJUDICATION OF CLAIM | DWC/WCAB Form 10 |
PET | petition (reconsideration, reopen, removal, penalties…) — the exact petition in the Descriptor | 2 | LEGAL DOCS · the specific petition title — PETITION TO REOPEN · PETITION FOR RECONSIDERATION · PETITION TO TERMINATE LIABILITY FOR TEMPORARY DISABILITY INDEMNITY · PETITION FOR COMMUTATION; there is no generic PETITION title — anything else is PETITION - OTHER | WCAB 42 (reopen) / 45 (reconsideration) / 46 (terminate TD) / 49 (commutation) |
ORDER | an order of the Board (approving, to show cause, dismissal, findings & award, the judge's Report & Recommendation — Board-issued paper on reconsideration) | 2, 14 — an order or award approving or disapproving a settlement → 14; everything else → 2 | — (Board-issued; not a filer title) | — |
OACR | proposed order / award — the firm's; the Board's order approving a C&R is ORDER, tab 14, whatever a sender calls it (decision D3) | 14 | LEGAL DOCS · PROPOSED ORDER/AWARD (filed separately from the petition or settlement it goes with) | — |
132A | Labor Code §132a petition | 2 | LEGAL DOCS · 132A (defense: ANSWER TO 132A) | — |
SIBTF | Subsequent Injuries Benefits Trust Fund application | 2 | LEGAL DOCS · APPLICATION FOR SUBSEQUENT INJURIES FUND BENEFITS | DWC form "Application for SIF Benefits" (no WCAB number) |
| TYPE | Meaning | Tab | EAMS document type · title | Form |
|---|---|---|---|---|
DOR | declaration of readiness to proceed (regular or expedited) | 3 | LEGAL DOCS · DECLARATION OF READINESS TO PROCEED; expedited: DECLARATION OF READINESS TO PROCEED TO EXPEDITED HEARING | DWC-CA 10250.1; expedited DWC-WCAB 10208.3 |
NOH | notice of hearing (MSC, trial, expedited, lien conference) | 3 (a lien conference → 15) | — (Board-issued) | — |
MSC | paper specific to a mandatory settlement conference that is neither the notice (NOH), the minutes (MOH) nor the statement (PTCS): a continuance request, an MSC-day settlement worksheet (an MSC order is ORDER, Tab 2) | 3 | — (no EAMS title; if filed, MISC · CORRESPONDENCE-OTHER) | — |
MOH | minutes of hearing | 3 | — (Board-issued; the filer's title is PROPOSED MINUTES OF HEARING) | WCAB 20 |
PTCS | pre-trial conference statement | 3 | LEGAL DOCS · PRE-TRIAL CONFERENCE STATEMENT (5 PAGER) — the "(5 PAGER)" is part of the title | WCAB 24 |
POS | proof of service | the tab of the document it serves (3 for a DOR, 6 for records to an evaluator) | LEGAL DOCS · PROOF OF SERVICE | — |
CORR | correspondence — a letter, or a document that has no code of its own yet (the gaps note) | the standard tab of the matter it is about (decision D6): the claim → 1; the judge or a pleading → 2; a hearing or trial → 3; treatment or the choice of physician → 5; to, from or about the evaluator → 6; a rating → 7; UR → 8; IMR → 9; benefits, wages, return to work or other benefits → 10; a payment, EOB or bill → 11; discovery → 12; records → 13; settlement or an MSA → 14; a lien claimant → 15; intake, fee or address → cover; the firm's own working records → firm records; anything else → 4 | MISC · CORRESPONDENCE-OTHER | — |
PR2 / PR3 / PR4 | treating physician progress / permanent & stationary reports | PR2 → 5; PR3, PR4 (a P&S report) → 7 | MEDICAL DOCS · TREATING PHYSICIAN (PR-2) / P & S REPORT (PR-3, PR-4) | DWC PR-2/3/4 |
DFR | doctor's first report | 5 | MEDICAL DOCS · TREATING PHYSICIAN | DWC Form 5021 |
MEDREC | medical records, imaging, operative reports, records returned on subpoena | 5 (returned on a subpoena → 13) | MEDICAL DOCS · ALL MEDICAL REPORTS | — |
RFA | request for authorization | 5 | — (no EAMS title; if filed, MEDICAL DOCS with the report it belongs to) | DWC Form RFA (8 CCR 9785.5) |
| TYPE | Meaning | Tab | EAMS document type · title | Form |
|---|---|---|---|---|
QME / PQME | QME / panel QME report — PQME when the evaluator came from a panel, QME otherwise; also the panel, strike and appointment paper (Descriptor says which) | a report → 7; anything else → 6 | MEDICAL DOCS · QME REPORTS — the panel letter itself has no title; related filer titles are PETITION FOR APPOINTMENT OF REPLACEMENT QME PANEL, PETITION TO DISQUALIFY PANEL QME, QME WAIVER | — |
AME | agreed medical evaluator report; AME agreement and appointment paper | a report → 7; anything else → 6 | MEDICAL DOCS · AME REPORTS | — |
UR-APPROVAL / UR-MOD / UR-DENIAL | utilization review decision on a treatment request. When one letter decides several requests differently, the most adverse wins — denial over modification over approval — and the Descriptor names the treatments. | 8 | — (no EAMS title for a UR decision; if filed, MISC · CORRESPONDENCE-OTHER) | — |
UR-DEFER / UR-DELAY | UR deferred while the employer disputes liability (LC 4610(l)) / UR delayed for information requested. New in 2.0. Neither decides medical necessity; neither carries an IMR clock. A peer review report or a withdrawal notice is CORR at tab 8. | 8 | — (as the UR decision row) | — |
IMR-APP | the completed application — the firm's appeal packet (the blank served form stays with the UR decision at Tab 8 and takes no code) | 9 | — (no ADJ title; a petition appealing the IMR determination is the attorney's — PET, Tab 2 — under the title APPEAL OF DETERMINATION OF AD-IMR) | DWC Form IMR — use the copy the claims administrator served with the UR decision (8 CCR 9792.10.1 names the current revision; the standard fixes none) |
IMR-NOA / IMR-RFI / IMR-DET | notice of assignment / request for information / determination | 9 | — | — |
DEPO-NOTICE / DEPO-TX | deposition notice / transcript | 12 | LEGAL DOCS · DEPOSITION TRANSCRIPT (transcript) | — |
| TYPE | Meaning | Tab | EAMS document type · title | Form |
|---|---|---|---|---|
SDT / SUBPOENA | subpoena duces tecum / subpoena | 13 | LEGAL DOCS · SUBPOENA DUCES TECUM (the 2017 list moved it out of MISC) / MISC · SUBPOENA | DWC WCAB 32 / 30 |
AUTH / HIPAA | HIPAA: the client's blanket release and representative designation signed at intake → cover. AUTH: an authorization executed for one specific records request → 13 | 13 (AUTH), cover (HIPAA) | — | — |
CR | compromise and release | 14 | LEGAL DOCS · COMPROMISE AND RELEASE (also …DEPENDENCY CLAIM; THIRD PARTY…; …-SIGNED; AMENDED…) | DWC-CA 10214(c); (d) dependency claim; (e) third party |
STIP | stipulations with request for award | 14 | LEGAL DOCS · STIPULATIONS WITH REQUEST FOR AWARD (2013+ injuries: …DOI post 1-1-2013; death: STIPULATION WITH AWARD(DEATH)) | DWC-CA 10214(a); (b) death case |
LIEN | lien claim | 15 | LIENS AND BILLS · NOTICE AND REQUEST FOR ALLOWANCE OF LIEN | DWC/WCAB Form 6 ($150 filing fee and a declaration under penalty of perjury, LC 4903.05) |
FIRM-RECORD | the firm's own working record about the file: a memo or note, a saved search, an e-service, e-filing or fax confirmation, a calendar invitation, a system-assembled bundle, the retention record. New in 2.0. | firm records | — (not filed with the Board) | — |
Gaps that remain, marked so they are added rather than improvised: med-legal scheduling paper (today QME/AME + Descriptor); money items (today BENEFITS/CORR + Descriptor); the judge's Report & Recommendation (today ORDER + Descriptor); a rating letter and an MSA (today CORR + Descriptor); the firm's demographics sheet, a chronology and a system-generated report (today CORR + Descriptor). Adding ML-SCHED, PAYMENT, RR, RATING, MSA, DEMO, CHRONO and REPORT is a change to the standard; a filing never improvises it. Edition 2.0 adopted UR-DEFER and UR-DELAY from this list, and FIRM-RECORD from the document list. It considered and did not adopt DISCOVERY (written discovery is CORR at tab 12, as the CORR row says — conflict K12), CLAIM (the claim form is BENEFITS at tab 1, as section 7's own table files it) and RECORDS (non-medical records obtained stay MEDREC, whose meaning includes records returned on subpoena).
All names below are fictional — Dr. Jane Roe as the treating physician, Dr. John Doe as the panel QME, Dr. Richard Roe as the AME, Applicant as the party, generic institutions, and f10482 as the firm's file number. In real filing the actual doctor and carrier go in the Source. Dates within a tab are consistent with each other; the tabs are independent illustrations, not one case. Rows are the fifteen standard tabs; beside each name is the sub-tab it is filed under (section 2).
| Tab | Names |
|---|---|
| 1 Claim & Denials | 2026-04-02_BENEFITS_Carrier_Claim-Denial_f10482.pdf M2.22026-04-02_BENEFITS_Carrier_Claim-Delay-90-Day_f10482.pdf M2.22026-05-20_BENEFITS_Carrier_Claim-Acceptance_f10482.pdf M2.2 |
| 2 Pleadings & Orders | 2026-07-15_ORDER_WCAB_Suspending-Action_f10482.pdf M6.32026-09-04_ORDER_WCAB_Report-and-Recommendation_f10482.pdf M6.32026-03-20_APP-ADJ_Applicant_Application_f10482.pdf M6.12026-06-11_APP-ADJ_Applicant_Amended-CT_f10482.pdf M6.12026-07-01_PET_Applicant_Penalties_f10482.pdf M6.22026-07-15_ORDER_WCAB_Show-Cause_f10482.pdf M6.32026-08-05_ORDER_WCAB_Findings-and-Award_f10482.pdf M6.32026-08-20_PET_Applicant_Reconsideration_f10482.pdf M6.22026-08-20_PET_Applicant_Reconsideration_v02_f10482.pdf M6.2 (corrected the same day)2026-04-20_ANSWER_Defense_Answer_f10482.pdf M6.12026-05-05_132A_Applicant_Petition_f10482.pdf M6.22026-05-05_SIBTF_Applicant_Application_f10482.pdf M6.1 |
| 3 Hearings | 2026-07-30_NOH_WCAB_MSC-09-15-2026_f10482.pdf M6.62026-07-30_NOH_WCAB_Trial-10-06-2026_f10482.pdf M6.62026-06-18_DOR_Applicant_Expedited_f10482.pdf M6.52026-06-19_POS_Applicant_DOR_f10482.pdf M6.82026-09-15_MOH_WCAB_MSC_f10482.pdf M6.72026-09-15_PTCS_Applicant_MSC_f10482.pdf M6.72026-09-08_MSC_Applicant_Continuance-Request_f10482.pdf M6.62026-06-29_DOR_Applicant_Objection-to-DOR_f10482.pdf M6.5 (the firm's objection to the other side's DOR) |
| 4 Correspondence | 2026-08-11_CORR_Carrier_Status-Inquiry_f10482.pdf M9.12026-08-11_CORR_Defense_Designation-Request_f10482.pdf M9.12026-08-12_CORR_Applicant_Firm-Letter-to-Client_f10482.pdf M9.22026-08-14_CORR_Applicant_Notice-of-Representation_f10482.pdf M9.2 |
| 5 Treating Medical | 2026-01-05_DFR_Dr-Jane-Roe_First-Report_f10482.pdf M3.12026-03-06_PR2_Dr-Jane-Roe_Progress_f10482.pdf M3.12026-02-11_MEDREC_Dr-Jane-Roe_Records_f10482.pdf M3.32026-08-08_RFA_Dr-Jane-Roe_Physical-Therapy_f10482.pdf M3.22025-11-19_MEDREC_Dr-Jane-Roe_Operative-Report_f10482.pdf M3.32024-04-25_MEDREC_Imaging-Center_MRI-Right-Elbow_f10482.pdf M3.3 |
| 6 Med-Legal Scheduling | 2026-08-17_QME_DWC_Panel-List_f10482.pdf M5.12026-08-19_QME_Applicant_Strike_f10482.pdf M5.12026-08-26_PQME_Dr-John-Doe_Appointment_f10482.pdf M5.22026-09-02_PQME_Dr-John-Doe_Cancellation_f10482.pdf M5.22026-09-05_CORR_Applicant_Records-to-QME_f10482.pdf M5.32026-09-05_POS_Applicant_Records-to-QME_f10482.pdf M5.32026-09-05_CORR_Applicant_QME-Advocacy-Letter_f10482.pdf M5.32026-09-08_CORR_Defense_Proposed-Records-to-QME_f10482.pdf M5.32026-09-12_CORR_Applicant_Objection-to-Records_f10482.pdf M5.32026-08-10_AME_Dr-Richard-Roe_Agreement_f10482.pdf M5.1 |
| Tab | Names |
|---|---|
| 7 Med-Legal Reports | 2026-01-12_PR3_Dr-Jane-Roe_PS_f10482.pdf M5.52026-05-30_PR4_Dr-Jane-Roe_PS_f10482.pdf M5.52026-05-14_PQME_Dr-John-Doe_Report_f10482.pdf M5.42026-07-23_AME_Dr-Richard-Roe_3rd-Evaluation_f10482.pdf M5.42026-07-23_AME_Dr-Richard-Roe_3rd-Evaluation_v02_f10482.pdf M5.4 (the amended report, same date)2026-08-15_AME_Dr-Richard-Roe_Supplemental_f10482.pdf M5.42026-08-28_CORR_Applicant_PD-Rating-AME-07-23-2026_f10482.pdf M5.7 |
| 8 UR | 2026-08-20_UR-APPROVAL_Carrier_Surgery_f10482.pdf M4.12026-08-07_UR-MOD_Carrier_Medication_f10482.pdf M4.12026-08-11_UR-DENIAL_Carrier_Surgery_f10482.pdf M4.12026-08-19_UR-DEFER_Carrier_Liability-Disputed_f10482.pdf M4.22026-08-17_UR-DELAY_Carrier_Information-Requested_f10482.pdf M4.2 |
| 9 IMR | 2026-08-11_IMR-APP_Applicant_Packet_f10482.pdf M4.42026-08-14_IMR-NOA_IMR-Org_Assignment_f10482.pdf M4.52026-08-20_IMR-RFI_IMR-Org_Request_f10482.pdf M4.52026-09-10_IMR-DET_IMR-Org_Overturned_f10482.pdf M4.62026-09-10_IMR-DET_IMR-Org_Upheld_f10482.pdf M4.6 |
| 10 Benefits Notices | 2026-08-01_BENEFITS_Carrier_TD-Start_f10482.pdf M8.12026-08-15_BENEFITS_Carrier_TD-Termination_f10482.pdf M8.12026-08-15_BENEFITS_Carrier_PD-Advance_f10482.pdf M8.12026-08-15_BENEFITS_Carrier_Rate-Change_f10482.pdf M8.12026-08-15_BENEFITS_Carrier_Offer-of-Modified-Work_f10482.pdf M8.22026-08-15_BENEFITS_Carrier_SJDB-Voucher_f10482.pdf M8.1 |
| 11 Money | 2026-08-15_BENEFITS_Carrier_Check-TD_f10482.pdf M8.52026-08-15_BENEFITS_Carrier_Check-PD-Advance_f10482.pdf M8.52026-08-15_CORR_Carrier_EOB-Dr-Jane-Roe_f10482.pdf M8.62026-08-15_CORR_Carrier_Mileage-Payment_f10482.pdf M8.52026-08-15_CORR_Dr-John-Doe_Med-Legal-Bill_f10482.pdf M8.6 |
| 12 Depositions & Discovery | 2026-08-20_DEPO-NOTICE_Defense_Applicant_f10482.pdf M6.92026-08-20_DEPO-NOTICE_Defense_Dr-John-Doe_f10482.pdf M6.92026-09-10_DEPO-TX_Reporter_Applicant_p01of02_f10482.pdf M6.92026-08-20_CORR_Defense_Written-Discovery-Request_f10482.pdf M6.10 |
| Tab | Names |
|---|---|
| 13 Subpoenas & Records | 2026-08-20_SDT_Defense_Hospital-Records_f10482.pdf M6.112026-09-14_MEDREC_Hospital_SDT-Return_f10482.pdf M6.122026-08-20_SUBPOENA_Defense_Applicant_f10482.pdf M6.112026-08-20_CORR_Applicant_Records-Request-Personnel-File_f10482.pdf M6.122026-08-20_AUTH_Applicant_Release-Hospital-Records_f10482.pdf M6.12 |
| 14 Settlement | 2026-09-02_CR_Applicant_Sent-for-Signature_f10482.pdf M7.12026-09-09_CR_Applicant_Signed_f10482.pdf M7.12026-09-02_STIP_Applicant_Request-for-Award_f10482.pdf M7.12026-09-02_OACR_Applicant_Proposed-Award_f10482.pdf M7.12026-09-20_ORDER_WCAB_Award_f10482.pdf M7.22026-09-20_ORDER_WCAB_Approving-CR_f10482.pdf M7.22026-09-02_CORR_Applicant_MSA_f10482.pdf M7.4 |
| 15 Liens | 2026-08-20_LIEN_Hospital_Notice_f10482.pdf M7.52026-08-20_NOH_WCAB_Lien-Conference_f10482.pdf M7.62026-08-20_CORR_Hospital_Lien-Demand_f10482.pdf M7.7 |
| cover — Client & Intake | 2026-03-10_HIPAA_Applicant_Representative-Designation_f10482.pdf M1.22026-03-10_HIPAA_Applicant_Release_f10482.pdf M1.22026-03-10_CORR_Applicant_Intake-Packet_f10482.pdf M1.12026-03-10_CORR_Applicant_Demographics-Sheet_f10482.pdf M1.12026-03-10_CORR_Applicant_Fee-Agreement_f10482.pdf M1.32026-08-20_CORR_Applicant_Address-Update_f10482.pdf M1.4 |
| firm records | 2026-03-11_FIRM-RECORD_Applicant_Initial-File-Review_f10482.pdf F.22026-06-19_FIRM-RECORD_DWC_EAMS-Filing-Confirmation_f10482.pdf F.32026-08-21_FIRM-RECORD_Applicant_Fax-Confirmation_f10482.pdf F.3 |
| pocket (unfiled) | no filing name exists yet — a received scan keeps its scanner name and the firm's draft its working name until the three questions are answered and it is filed under the standard's name |
Every clipped item says which date it runs from. Section numbers are cited plainly for the attorney to verify; nothing here quotes statutory text, and every deadline is computed in California time. Tab numbers here are the fifteen standard tabs. A period in days excludes the day it runs from and includes the last; for an act under the Appeals Board's rules, a last day on a weekend or a day the Board's offices are closed moves to the next business day (8 CCR 10600(a)–(b); section 11 says how a rule computes it).
| Tab | Clock | Runs from | Ends in | Reference |
|---|---|---|---|---|
| 1 | 90-day claim presumption | the date the claim form (DWC-1) is filed with the employer | liability not rejected within 90 days → the injury is presumed compensable (75 days for the injuries and illnesses of LC 3212–3212.85 and 3212.9–3213.2 — the attorney says; the clip is dated with the 90 and names the 75, decision D4); rebuttable only by evidence found after the period | LC 5402(b)(1)–(2) |
| 1 | time to commence proceedings | the date of injury, the end of the last indemnity period, or the last medical furnished — whichever is latest | one year — the attorney sets the date; the clerk clips it | LC 5405 |
| 1 | new and further disability | the date of injury | five years — the attorney sets the date; the clerk clips it | LC 5410 |
| 2 | petition for increased compensation for the employer's serious and willful misconduct | the date of injury | twelve months, not extended by payment of compensation, an agreement for it, or an application for other benefits — the attorney sets the date; the clerk clips it (new in 2.0) | LC 5407 |
| 2 | dependants' claim after a death | the date of death, or the last furnishing of benefits, as the section distinguishes by when the death occurred | one year — and never more than one year after the death nor more than 240 weeks after the injury; the attorney sets the date (new in 2.0) | LC 5406(a)–(b) |
| 2, 14 | petition for reconsideration | service of the final order, decision or award | 20 days; +5 days when served by mail, fax, e-mail or any method other than personal service to an address in California (+10 elsewhere in the United States, +20 outside it), measured by the party's Official Address Record — only personal service gets the bare 20. Filed in EAMS or with the district office; verified, with proof of service; 25 pages (answer 10) | LC 5903; 8 CCR 10605(a)–(b), 10940, 10945 |
| 2 | the Board's time to act on reconsideration | transmission of the case to the Appeals Board — service of the judge's Report & Recommendation is the notice of it | 60 days; a petition not acted on is deemed denied (Stats. 2024, ch. 52 added the transmission rule with a July 1, 2026 sunset; SB 171, Stats. 2026, ch. 83, effective July 13, 2026, re-enacted it without one — the section reads as shown from that date) | LC 5909(a)–(b) · Perez v. Chicago Dogs (WCAB en banc, Aug. 12 & 14, 2025) ADJ16597333 |
| 2 | reconsideration vs removal | — | only a final order (a substantive right, or a threshold issue: AOE/COE, jurisdiction, employment, statute of limitations) takes the 20-day reconsideration clock; an interlocutory order (evidence, discovery, trial setting, venue) is challenged by removal — the attorney decides which | Vazquez v. Renteria (WCAB en banc, May 19, 2025) ADJ11017003; 8 CCR 10955(a) |
| 2 | Order Suspending Action | the OSA | provide the information asked for (medicals, civil-case facts, fee support); the judge may not use an OSA to compel an evaluation, dismiss with prejudice, or cut a fee without notice and a record | 8 CCR 10700(b), 10789(e) · Gaines v. ABM Aviation (WCAB en banc, June 24, 2026) ADJ20216367 |
| Tab | Clock | Runs from | Ends in | Reference |
|---|---|---|---|---|
| 3 | hearing | the notice | the date on the notice, calendared for the case team; a prep task a week before only where the firm's rule asks for one (conflict K15) | — |
| 3 | objection to the other side's Declaration of Readiness | service of the declaration | 10 calendar days, +5 / +10 / +20 when served other than personally; stating the specific reason; executed by the attorney when the party is represented; a party that does not object waives its objections absent extraordinary circumstances (new in 2.0; decision D2) | 8 CCR 10744(a), (c)–(d); 10605(a)–(b) |
| 4 | reply-by date on a letter | the letter | the date the letter states; where it states none, the case manager sets one — no statutory period | — |
| 4, cover | disclosure of the liable entity | the first letter from an administrator that does not name its client | the request goes at the earliest opportunity; the answer is due before anything is served on the unnamed entity — the attorney sets the follow-up | Coldiron I & II (2002); DiFusco (2025); 8 CCR 10390(c) |
| 6 | QME panel strike (represented) | assignment of the panel by the administrative director | 10 days, +5 when served by mail — the mailbox rule Messele v. Pitco Foods (en banc, 2011) stated for the § 4062.2(b) proposal period, which the Board applies to the strike; a party that does not strike lets the other side pick from what remains. No rule prescribes the form of the strike — a served letter is the practice | LC 4062.2(c) |
| 6 | scheduling the QME after the strike (represented) | the date the evaluator is selected from the panel | the represented employee schedules within 10 business days; if not, the claims administrator may arrange the appointment | 8 CCR 31.3(d) |
| 6 | QME appointment availability | the party's request for an appointment | no appointment within 90 days → the party may waive to accept one within 120 days; past 120 → either party may report it and a replacement panel issues on request (unless both waive in writing); whether to replace for good cause is the Board's call, on the length of delay, prejudice each way, efforts to cure, and case-specific reasons | 8 CCR 31.3(e)–(f) (follow-up evaluations too), 31.5(a)(2) · Vazquez v. Renteria (WCAB en banc, May 19, 2025) ADJ11017003 |
| 6 | objection to the other side's nonmedical records to the evaluator | service of their proposed records or information | 10 days; an objection not made at the first opportunity is taken as agreement; objected-to nonmedical records are not sent unless a judge orders it | LC 4062.3(b); 8 CCR 35(d) · Suon (2018) |
| 6 | records and communications to a QME | the date the firm proposes to send them | information is served on the opposing party 20 days before it goes to the evaluator (their objection window is the row above); every communication before the evaluation is in writing, served 20 days ahead; later communications served when sent; anything to an AME needs the parties' agreement; a letter that contains, references or encloses records is "information" whatever it calls itself; scheduling, missed appointments, sending records and asking when the report is ready are not ex parte | LC 4062.3(a)–(g); 8 CCR 35(d) · Maxham (en banc, 2017) 82 Cal.Comp.Cases 136; Suon v. California Dairies (WCAB en banc, 2018) ADJ9013590, 83 Cal.Comp.Cases 1803 |
| Tab | Clock | Runs from | Ends in | Reference |
|---|---|---|---|---|
| 6 | ex parte communication with the evaluator | discovery of it | the aggrieved party may terminate the evaluation and seek a new one — within a reasonable time; the remedy is the trier of fact's, weighing prejudice, timing, cure and good faith | LC 4062.3(g) · Suon (2018) 83 Cal.Comp.Cases 1803; Vazquez v. Renteria (WCAB en banc, May 19, 2025) ADJ11017003 |
| 7 | the evaluator's report | the examination (or when the evaluation procedure began) | 30 days, +15 for good cause (missing tests, emergency, disaster); a late report gives either party a statutory right to a new evaluation and neither party owes for the late one — unless each side waives the new evaluation on the AD's form | LC 139.2(j)(1), 4062.5 · Vazquez v. Renteria (WCAB en banc, May 19, 2025) ADJ11017003 |
| 7 | objection or supplemental request on a med-legal report | service of the report | no statutory period; the attorney sets the date, and it falls before the MSC (the row below) | — |
| 3, 7, 12, 13 | discovery cutoff | the mandatory settlement conference | discovery closes on the MSC date; evidence not disclosed by then is inadmissible unless it could not have been found with due diligence — so a supplemental request, a deposition or a records subpoena is ordered before the MSC; the attorney sets those dates, the clerk clips them against the MSC | LC 5502(d)(3) |
| 5, 7 | objection to a treating physician's medical determination | receipt of the report | 20 days if represented, 30 if not; extendable for good cause or by agreement; a represented objection proceeds to a panel under LC 4062.2 | LC 4062(a) |
| 8 | IMR request after a UR denial or modification | service of the UR decision on the employee | 30 days (10 days for a formulary dispute); if the employer also disputes liability for the treatment, 30 days from notice that the liability dispute is resolved; if the UR decision came without the one-page IMR form and envelope, the clock has not started. The application goes to the Administrative Director with a copy of the UR decision, and a copy to the claims administrator | LC 4610.5(f), (h)(1)–(3); 8 CCR 9792.10.1 |
| 8 | UR deferral (liability disputed) — UR-DEFER | — | UR is not required while the employer disputes liability for the injury or the condition; once liability is final, the employer's UR clock runs from its receipt of a treatment recommendation — so the request is repeated then | LC 4610(l), (m) |
| 8 | UR delay (information requested) — UR-DELAY | the delay notice | no clock for the applicant — the decision follows when the reviewer has what it asked for; the case manager notes the date the notice promises | — |
| Tab | Clock | Runs from | Ends in | Reference |
|---|---|---|---|---|
| 9 | supporting records after a Notice of Assignment | the NOA | 15 days (12 if the notice was sent electronically; 10 for a formulary-drug dispute; 24 hours on an expedited review) for the employee or representative to submit supporting documentation — the same window as the claims administrator's | 8 CCR 9792.10.5 |
| 9 | IMR request for information | the RFI | the date on the RFI | — |
| 9 | appeal of an IMR determination | mailing of the determination to the aggrieved employee or employer | 30 days: a verified appeal, filed with the Appeals Board and served on all interested parties — the attorney's; the clerk clips it and never files it (new in 2.0) | LC 4610.6(h) |
| 10 | offer of regular / modified / alternative work | the offer — the employer's window is 60 days: for 2005–2012 injuries, from the disability becoming P&S; for 2013+ injuries, from the claims administrator's receipt of the first P&S report on the AD's form (Physician's Return-to-Work & Voucher Report, DWC-AD 10133.36) finding P&S and permanent partial disability | Injuries 2005–2012: the offer moves the remaining PD payments ±15% (LC 4658(d)). Injuries on or after 1/1/2013: the offer no longer changes PD — it decides whether the applicant gets the SJDB voucher (up to $6,000) — and only an offer of regular, modified or alternative work lasting at least 12 months counts. Either way the attorney is told the day it arrives | LC 4658(d)(2)–(3); LC 4658.1(a)–(c); LC 4658.7(b)(1)–(2) |
| 11 | first temporary disability payment | the employer's knowledge of the injury and the disability | 14 days; a payment not made timely is increased 10 percent and paid without application — the clerk records the dates from the payment record, the attorney decides what follows (new in 2.0) | LC 4650(a), (d) |
| 12 | written discovery response | service of the request | the date the request states; where it states none, the attorney sets it — no statutory period in this forum | — |
| 12 | deposition | service of the notice | the noticed date — which must be at least 10 days after service of the notice, or at least 20 days after issuance of the subpoena when consumer or employment records are subpoenaed for it. WC depositions are taken as in civil actions; the applicant deposed by the defense is owed transportation, meals and lodging, lost wages, one transcript, a reasonable attorney's fee and a certified interpreter | LC 5710(a)–(b); CCP 2025.270(a), (c) |
| 13 | subpoena duces tecum for records | issuance and service of the subpoena | the production date on it — no earlier than 20 days after issuance or 15 days after service, whichever is later; the custodian delivers within 15 days after receipt. Subpoenas issue from the Board and its judges, or as in civil actions | LC 130, 5710; CCP 2020.410(c); Evid. Code 1560(b)(2) |
| Tab | Clock | Runs from | Ends in | Reference |
|---|---|---|---|---|
| 14 | payment after an award or order approving | service of the award or order | the date the order sets; where it sets none the attorney sets a 30-day check — an unreasonable delay is a penalty question for the attorney | LC 5814 |
| 14 | filing a settlement | the filing | every AME, QME and treating report relevant to adequacy is filed with it — withholding or misstating that none exist is prohibited; expect an OSA or a hearing if the record does not explain the value | 8 CCR 10700(a) · Gaines v. ABM Aviation (WCAB en banc, June 24, 2026) ADJ20216367 |
| 15 | lien conference | the notice | the date on the notice — every defendant and lien claimant appears (in person or by representative); a lien claimant that does not may be dismissed on notice of intention or deferred; unresolved claims need a signed pre-trial conference statement, and undisclosed evidence may be waived; a late-appointed representative is not good cause | 8 CCR 10875, 10888 |
| 15 | filing the lien (a provider's lien against the case) | the date the services were provided | 18 months (services on or after July 1, 2013; 3 years for earlier services); $150 filing fee and a declaration under penalty of perjury — without the declaration the lien is dismissed by operation of law | LC 4903.5(a), 4903.05 |
A document the firm makes is filed under the same grammar and the same tab as anything received — and most of them start a clock rather than answer one. The clerk clips these the day the document goes out, from its sent or filed date; where the period is another party's or the Board's, the clip is a follow-up, not a deadline of the firm's.
| The firm makes… | TYPE · Tab | What it starts | Clip (from the sent / filed date) | Reference |
|---|---|---|---|---|
| the claim form, filed with the employer | BENEFITS · 1 | the 90-day presumption (75 for a presumptive injury) | the date the claim is deemed filed with the employer; the row in the table above | LC 5401, 5402(b) |
| an application for adjudication | APP-ADJ · 2 | proceedings are commenced — the one-year statute is satisfied | note the filing date on the statute clip and close it | LC 5405 |
| a petition (reconsideration, removal, reopen, penalties) | PET · 2 | reconsideration: the Board's 60 days from transmission; the answer is due within its own period | transmission (the R&R's service) → 60 days; a follow-up 10 days after filing if no R&R has issued | LC 5909; 8 CCR 10940 |
| a Declaration of Readiness | DOR · 3 | a hearing is set by the Board; discovery closes at the MSC it sets | follow-up if no notice of hearing within 30 days; the MSC date, once noticed, is the discovery cutoff | LC 5502(d)(3) |
| an objection to a treating physician's determination | CORR · 5 or 7 | the panel process — the request for a panel follows the objection | the objection must itself be within 20 days of receipt (30 unrepresented); then the panel request | LC 4062(a), 4062.2 |
| records or a letter to the evaluator, with its proof of service | CORR + POS · 6 | the other side's 10 days to object; nothing goes to the evaluator before the 20 days run | service → +20 days is the earliest send date; their objection window closes at +10 | LC 4062.3(b), (e); 8 CCR 35(d) |
| a subpoena duces tecum the firm issues | SDT · 13 | the custodian's production | production no earlier than 20 days after issuance or 15 after service, whichever is later; follow-up the day after | CCP 2020.410(c); Evid. Code 1560(b)(2) |
| the IMR application (the packet) | IMR-APP · 9 | assignment by the review organization, then the supporting-records window | follow-up if no Notice of Assignment; on the NOA, 15 days (12 electronic; 10 formulary; 24 h expedited) | 8 CCR 9792.10.1, 9792.10.5 |
| a settlement document filed for approval (C&R, Stipulations) | CR / STIP · 14 | the judge's review — approval, an Order Suspending Action, or a hearing | follow-up if nothing has issued in 30 days; an OSA is answered by its own date; after the award, the 20-day window and the payment check (rows above) | 8 CCR 10700, 10789(e) |
| a settlement demand, a records request, a letter asking for something | CORR · 4, 13 | the other side's reply | the date the letter asks for; where it asks none, the case manager sets a follow-up — no statutory period | — |
What the firm makes is dated by its sent or filed date (section 4). The clip records that date beside the due date, so a follow-up can show what was sent and when without opening the document.
A UR denial or modification (Tab 8) is not only filed; it is appealed, and the appeal is a single document assembled from three tabs and the cover. The clerk builds it in this order and combines it into one PDF — one attachment, never several; that is a submission requirement of the review organization, not a preference.
| # | In the packet | From | Rule |
|---|---|---|---|
| 1 | The Application for Independent Medical Review — the copy the claims administrator served with the UR decision, completed and signed | Tab 8 (it arrives with the denial) | The form travels with the denial (LC 4610.5(f)); the request is made on the form with a copy of the decision attached (8 CCR 9792.10.1). Never a form downloaded blind — the served copy carries the case's own identifiers and the current revision. The served form and its envelope stay with the denial as one piece — the one exception to the two-documents rule; the form has no code of its own. |
| 2 | The UR denial or modification letter itself | Tab 8 | Before it goes, check that the letter carries what IMR requires (the treatment at issue, the determination, the dates) and that the firm's address on it is current; a stale address is corrected on the document, and a letter missing what IMR needs stops the packet and tells the case manager. |
| 3 | The client's signed authorization and the Authorized Representative Designation | Cover (the intake packet) | Both, every time; an unsigned designation is a pocket item, not an omission. |
| 4 | The firm's demographics sheet | Cover | First UR denial on the case only; on a later denial the review organization already holds it. |
| 5 | Supporting medical reports (the request for authorization, the treating physician's report behind it, any med-legal report on the treatment) | Tabs 5 and 7 | What supports the request goes now where the firm has it; the rest goes within the window the Notice of Assignment opens — 15 days (12 when the notice was sent electronically; 10 for a formulary drug; 24 hours on an expedited review), the same window the claims administrator has (8 CCR 9792.10.5). Clip it the day the NOA arrives (Tab 9). |
2026-08-11_IMR-APP_Applicant_Packet.pdf, Tab 9), beside the denial it appeals. (3) A diary note says where and when it went. (4) The IMR clock is clipped as section 7 states it — 30 days from service of the denial or modification on the employee (10 for a formulary drug) — and nothing about that date ever withholds the send — timeliness is decided by the review organization, not by the clerk.These are rules the Workers' Compensation Appeals Board has stated en banc — binding on every panel and every judge (8 CCR 10325) — that bear on what a clerk does with a document, or on what the person told about it decides. Each is cited to the decision that states it, for counsel to confirm against the opinion. Legal information, not advice. In the law layer's terms (section 13) every row here is binding; a significant panel decision "involve[s] an issue of general interest to the workers' compensation community but [is] not binding precedent" (8 CCR 10325(b)) and would be labelled persuasive.
| Tab | The rule, in effect | Decision | Cite |
|---|---|---|---|
| 4, cover | A third-party administrator must disclose whose liability it administers — carrier or self-insured employer — and any high self-insured retention, large deductible or other provision that changes who actually pays; the duty falls on every defendant, at the earliest opportunity, and the burden never sits with the injured worker. An award against an unidentified entity may be unenforceable. | Coldiron I & II (2002); DiFusco (2025) | Coldiron v. Compuware (WCAB en banc, Mar. 20 and Nov. 11, 2002) 67 Cal.Comp.Cases 289 [Coldiron I], 1466 [Coldiron II]; DiFusco v. Hands On Spa (WCAB en banc, Oct. 13, 2025) ADJ7445107; 8 CCR 10390(c) (the insurer or self-insured employer, not the administrator, is named as the party — a rule DiFusco holds does not displace Coldiron) |
| 6 | "Information" to an evaluator is treating records and medical/nonmedical records relevant to the medical issues; a "communication" becomes information if it contains, references or encloses them. Information to a panel QME: served 20 days before; nonmedical records objected to within 10 days are not sent. To an AME: only by agreement. Advocacy is allowed; misrepresentation is not. | Maxham (2017) | Maxham v. Cal. Dept. of Corrections & Rehabilitation (WCAB en banc, Jan. 23, 2017) ADJ3540065, 82 Cal.Comp.Cases 136 |
| 6 | Disputes over what goes to the QME are for the WCAB after a good-faith attempt to resolve them; an objection must be made at the first opportunity or is taken as agreement; an ex parte communication lets the aggrieved party terminate the evaluation within a reasonable time; removal, not reconsideration, is the route to challenge such rulings. | Suon (2018) | Suon v. California Dairies (WCAB en banc, 2018) ADJ9013590, 83 Cal.Comp.Cases 1803; 8 CCR 10955 |
| 6, 7 | Only the Appeals Board decides whether a replacement panel is valid. A late report (30 days from the exam, +15) is a statutory ground to replace a QME; mere unavailability to set an appointment is not — replacement for unavailability is discretionary, weighed on delay, prejudice each way, efforts to cure, case-specific reasons and substantial justice. The 10-day strike is extended 5 days by mail; after the strike the represented employee has 10 business days to set the appointment (8 CCR 31.3(d)). | Vazquez (2025); Messele (2011) | Vazquez v. Renteria (WCAB en banc, May 19, 2025) ADJ11017003; Messele v. Pitco Foods (WCAB en banc, 2011) 76 Cal.Comp.Cases 1318 [the mailbox rule on the § 4062.2(b) AME-proposal period; applied by the Board to the strike] |
| Tab | The rule, in effect | Decision | Cite |
|---|---|---|---|
| 8 | A UR decision is invalid, and not subject to IMR, only if it is untimely — the holding as the Appeals Board's own index states it. As reported, and unverified — attorney to confirm: whether a UR decision was timely is for the Appeals Board; where it was untimely, the Board decides medical necessity on substantial medical evidence; a timely decision's dispute over medical necessity goes to IMR whatever its other defects. (New in 2.0.) | Dubon II (2014) | Dubon v. World Restoration, Inc. (WCAB en banc, Oct. 6, 2014) ADJ4274323 [Dubon II, rescinding Dubon I of Feb. 27, 2014]; 79 Cal.Comp.Cases 1298 — decision, date and one-line holding confirmed on the Appeals Board's en banc index; the opinion text and the reporter page were not read for this edition |
| 2 | The Board's 60 days to act on reconsideration run from transmission of the case; service of the judge's Report & Recommendation is notice of transmission. A grant of reconsideration reopens the whole record. Only a final order (substantive right or threshold issue) is reconsidered; interlocutory orders are removed. | Perez (2025); Vazquez (2025) | LC 5909(a)–(b) (as amended by Stats. 2026, ch. 83); Perez v. Chicago Dogs (WCAB en banc, Aug. 12 & 14, 2025) ADJ16597333; Vazquez (en banc, May 19, 2025) ADJ11017003 |
| 1, 2 | Pleadings are informal and read for substance: a technically deficient pleading that gives notice and is timely does not defeat jurisdiction; a petition is judged on its merits, not its title; relief from default follows CCP § 473. | Perez (2025) | Perez v. Chicago Dogs (WCAB en banc, Aug. 12 & 14, 2025) ADJ16597333; 8 CCR 10515 (no demurrers or summary judgment), 10517 (pleadings deemed amended to the stipulations, or to proof), 10617(a)–(b) (a document under a statute of limitations or jurisdictional time limit is not rejected for its form — only for missing case-identifying information, with a 15-day cure that keeps the original filing date); CCP § 473 |
| 14 | No settlement binds until the Board approves it; the judge must independently find it valid (a contract) and adequate (protecting the worker and the public). All relevant medical reports are filed with it and may not be withheld. Where the record does not explain the value, the judge issues an OSA or sets a hearing — and may not use an OSA to compel an evaluation, dismiss with prejudice or reduce a fee without notice and a record. Stipulations need information, not substantial medical evidence. | Gaines (2026) | LC 5001, 5702; 8 CCR 10700(a)–(c), 10789(b)(1), (e), 10832 (a notice of intention is the general vehicle — liens, petitions, sanctions, submission, dismissal — not an evaluation-attendance rule); Gaines v. ABM Aviation (WCAB en banc, June 24, 2026) ADJ20216367 et al. (31 consolidated cases) |
| Tab | The rule, in effect | Decision | Cite |
|---|---|---|---|
| 10 | An offer of work defeats the SJDB voucher only if bona fide and within § 4658.1's definitions; an employer's inability to offer work does not excuse the voucher; SJDB disputes belong to the WCAB — the Administrative Director's dispute rule is invalid and any deadline it set to reach the Board is void. | Dennis (2020) | LC 4658.1(a)–(c), 4658.7(b), (h); Dennis v. State of California (WCAB en banc, Jan. 13, 2020) ADJ9346293, 85 Cal.Comp.Cases 389 |
| 14, 11 | No attorney's fee is demanded or accepted until the Board approves it; a disputed fee can be held in trust while the C&R is approved and heard later. | Gaines (2026) | LC 4906(a), (d); 8 CCR 10844 (responsibility assumed, care exercised, time involved, results obtained); Gaines (en banc, June 24, 2026) ADJ20216367 |
| all | Decisions rest on the admitted record; oral statements at a walk-through are not evidence. Discovery is liberal and needs no good-cause showing for routine requests — including insurance-coverage information. | Gaines (2026); DiFusco (2025) | LC 5708, 5709; 8 CCR 10803(a)(2) (the record of proceedings is the admitted evidence — a document in the file that was never offered is outside it), 10789(e); Hamilton v. Lockheed Martin (WCAB en banc, 2001) 66 Cal.Comp.Cases 473; Gaines (2026); DiFusco (en banc, Oct. 13, 2025) ADJ7445107 |
The rows in section 7 that are not en banc law — the UR/IMR clocks, the claim-denial presumption, the § 4062 objection, the strike statute — rest on the Labor Code and WCAB rules cited beside them.
The pocket holds every piece the procedure could not finish, each with the reason. The reasons are few, and each has one answer:
| Reason | What the person does |
|---|---|
| No client found | Names the case, or says it is not the firm's client — then the piece is processed normally or returned. (A client found whose cases match neither the date of injury nor the claim number is not a pocket item: the document is filed on the client's case and intake is asked about a new one — section 3, step 3.) |
| Several cases, or a similar name, and the facts do not decide | Picks the case — from the claim or ADJ number, the date of injury, body part, employer, carrier or defense — and says why in the note. |
| Two documents in one scan | Confirms the page where the second begins; the scan is cut and each part processed. |
| Document has no date / unreadable | Supplies the date from the document if it is there and was missed; if the document truly carries none, the postmark or fax-header date is used and the note says so — and the attorney decides any clock that depends on it. Unreadable: requests a legible copy. |
| Same date, TYPE and Source already filed, nothing distinguishes them | Says whether it is the same document (note it) or a second one (_v02). |
| A packet or send needs something the file lacks (a signed designation, an application form, a wage figure) | Supplies it, or hands the piece to the person who can. |
| The firm's own records or communications for the evaluator | The attorney decides what is served, on whom, and when — the 20-day service rule of § 4062.3 is not a clerk's call; the clerk clips the date and produces the proof of service. (The other side's proposed records are not a pocket item: they are filed to Tab 6, their 10-day objection window clipped, and the attorney told.) |
| Not a case at all (firm mail, marketing) | Firm mail to the office; marketing is discarded. |
| A returned envelope whose case cannot be identified | Names the case; the envelope becomes a contact update on it (cover). A returned envelope that names its case never reaches the pocket. |
A pocket that holds more than about one piece in twenty means a tab or a rule is wrong, not that the documents are unusual.
A case closes when the last clock has run — the award is paid, the appeal window has passed, the liens are resolved — or when the firm withdraws or the client leaves. The file does not close with it. Documents keep arriving on closed cases, and some of them still carry a clock; a closed case is a status on the cover, not a reason to stop answering the three questions.
| Rule | What it means at the desk |
|---|---|
| A closed case still runs the standard. | A document that arrives on a closed case is placed, named, clipped and reported exactly as on an open one. A UR denial on a closed case is filed and appealed within its clock; the reopening or reassignment of the case follows the filing, and the note says the case was closed when the document arrived. Closed-ness is said on the plan, never used as a reason to withhold a filing or a send. |
| Closing is a document. | The act that closes the case — the closing letter to the client, the substitution, the final award with its payment proved — is filed under its own tab like any other made document, and the cover records the closing date. The pocket must be empty: a piece the procedure could not finish is not closed with the case. |
| The last clips are the retention clips. | On closing, the clerk clips two dates to the cover: the end of the firm's retention period for the file, and the end of any longer period a document in it requires (a minor's or an incompetent's matter, a future-medical award, a lien still open). The longer date governs the whole file. |
| Nothing is destroyed by the procedure. | Destruction is a person's act under the firm's retention rule and the client's rights, recorded as a note on the cover with the date and the authority. The filed copies on the case system are what the firm keeps; the paper originals the spine names are returned to the client or destroyed as that rule says, and the note says which. The index survives the file: it is the record of what the file held. |
| Reopening is a document too. | A petition to reopen, a new injury on the same client, a request for the file — each is a document that enters the file under its tab and re-runs the clocks it starts (section 7). A reopened case reads as one file, not two; the cover records both dates. |
The retention period itself is the firm's rule and the bar's, not this standard's; the standard only requires that the period be clipped, that the longer period govern, and that destruction be a recorded act.
No two firms keep the folder the same way, and the standard does not ask them to. It asks that every difference be recorded. That record is the firm's Policies & Procedures: its policies — the decisions the firm has made about how it works, such as "UR denials and modifications are acted on within 5 days of receipt" — and its procedures — how each kind of document is handled, which is that document's rule (section 11). Together they are a versioned list of every way the firm's folder and rules differ from this page, each difference approved by an attorney of the firm, each one visible beside the standard's own line. The standard is the base; the firm's policies and procedures are laid over it; the rule for each document is what results. A firm that has recorded no policy and no procedure of its own follows the standard exactly.
| A firm may | How it is recorded |
|---|---|
| Add, rename, reorder or remove a tab | Every firm tab is mapped to the standard tabs it holds (or to firm records). A tab of the nine may be renamed, split or merged — a firm may even keep 1.9's fifteen across the front — but its documents keep their TYPE codes and standard tabs, so the map back is always known. Removing a tab means re-homing its documents first; a tab is never removed with documents behind it. A rename changes the tab's label and a reorder its code; its identifier stays, so no rule, filing or note changes with it (section 2, the identity rule). |
| Add, rename, reorder or remove a sub-tab | As section 2: a sub-tab is removed only when empty. A firm sub-tab is marked as the firm's own, and gets a permanent identifier like the standard's; renaming or reordering one changes its label or its code, never its identifier. |
| Add, rename or move a document kind | A firm may add a document kind the list (Appendix A) lacks — under an existing TYPE code, with a short name — rename one, or move one to another sub-tab of the same tab. Moving a document kind to a different tab than its TYPE decides is a departure: the firm's procedure for it says so, and the filing note names the standard tab as well. |
| Choose the file-name pattern | The standard's grammar (section 4) is the default. A firm pattern is built from the tokens of section 4 and recorded as a departure where it differs (decision D1, section 18). |
| Choose tags | Which of the case system's tags a document carries. The tab's own tag is always among them (section 17). |
| Bind roles to people | Which people fill the attorney, case manager, paralegal and bookkeeping roles on a case, or across the firm (decision D5). A role nobody fills is said so, and the firm's policies name who receives it instead. |
| Add tasks and calendar entries | Any task or entry the firm wants, with its own date rule (section 11) and the word firm practice where no authority stands behind it. |
| Make a working date earlier | A stricter override: the firm acts sooner than the law requires. The legal clip stays, as the outer limit; the firm's task is added beside it with its own earlier date. |
| Tell more people, more ways | An additional notice where the standard says "nobody" or names one role — an email to several people, a review task on every filed document. It is an override and recorded as one (conflict K4, section 18). |
| Choose the actions offered | Which actions (section 12) are offered when a document is filed, and how a client communication goes — channel, language, who, when. |
| A firm may not | Why |
|---|---|
| Change a clock's law — its period, the event it runs from, its authority — or remove its clip | The period is the law's, not the firm's. A firm can be early; it cannot be late by rule. A clip the firm does not want as a task is still a calendar entry. |
| Make a legal clip later than section 7 computes it | A looser override is not an override; it is a missed deadline written in advance. |
| Change what a TYPE code means, or invent one | The code is how the file is read outside the firm — by another firm on a substitution, by the Board, by the next edition. A new code is a change to the standard; a firm proposes it, it does not improvise it. |
| Skip the checks before filing, the pocket, or the proof | The four checks (clerk's sheet), a pocket for what the procedure could not finish, and a proof read back from the case are the standard itself. |
| Send anything outward without a person | A letter, a packet, a message to the client: drafted by the rule, sent or approved by staff (section 12). |
| Put a Social Security number, a date of birth or a claim number in a file name | A name travels where the file goes (section 4). |
| Drop a line from the filing note, or a citation from a rule | The note is the file's narrative and the law layer (section 13) reads the citations. |
An override is a policy or procedure of the firm that changes what the standard would do with a document — never its law. Each records:
| Field | Content |
|---|---|
| What it changes | the document (or tab, or sub-tab), by its identifier, and the standard's line it sits beside |
| The firm's line | the task, entry, notice or name the firm uses instead of, or in addition to, the standard's |
| Direction | stricter (earlier, or more people told), additional (a line the standard does not have) or departure (a name or place that differs). "Looser" is not a direction a clock may take. |
| Approved by | the attorney of the firm who approved it, by role and person, and the date |
| Reason | one sentence — the firm's practice, a client need, a judge's preference |
| Version | the version of the policies and procedures that published it (section 11) |
Two worked examples, fictional:
| Document | The standard | The firm's override | Direction · approved |
|---|---|---|---|
UR denial or modification (UR-DENIAL / UR-MOD, Tab 8) | calendar: the IMR request, 30 days from service on the employee (10 for a formulary dispute) — LC 4610.5(h)(1) | task to the attorney: decide on IMR within 5 days of receipt — firm practice. The 30-day clip stays as the outer limit. The 5 days never hold back the filing: the document is filed when it is filed, and the 5 days live only on the task. | stricter · attorney, 2026-10-01 |
| every document (all tabs) | Tab 5: told nobody (the attorney on a determination that changes benefits) | a review task to the paralegal on every filed document, due the next business day, and an email to the case team | additional · attorney, 2026-09-28 |
Sections 2 through 9 say what the standard does with each kind of document. A firm's practice adds to it — its tags, its people, its earlier dates, its client letters. Edition 2.0 makes that addition a rule — the firm's procedure for the document, in the sense of section 10: one per document kind in the document list (Appendix A), written in a fixed format, so that any person or any conforming system reads the same rule the same way. The rule is what a clerk follows at steps 5 through 10 of the procedure. Where a firm has written nothing, the rule is the standard's line for that document and nothing more.
| Part | What it says | Rules for it |
|---|---|---|
| Document | its identifier; the name in the folder; a short name (lowercase words joined by hyphens, used as {document} in a file name); its TYPE code; its tab and sub-tab, each by identifier; and its standard tab | The identifier is permanent (section 2, the identity rule); the name is a label. The short name is unique in the firm's list. The TYPE and standard tab come from Appendix A; the firm may move the document to another sub-tab (section 10), which changes the sub-tab it points to, not its own identifier. |
| File name | the pattern its filing name is built from | Tokens of section 4 only. The standard's grammar unless the firm's procedure records a departure. |
| Tags | the case-system tags the filing carries | Always includes the tab's own tag (section 17). |
| Calendar entries | each: a title, who it is for, a date rule, and its authority | As many as the document needs. Every legal clip of section 7 is here, marked standard; the firm's own are marked firm. |
| Tasks | each: a title, who does it, a date rule, and its authority | As many as the firm wants — and no more: a task nobody works hides the ones that matter (section 15). |
| Told | the role or roles told (section 1's five answers), and how: the diary note always; an email or a review task where the firm's rule adds one; several people where it names several | "Nobody" where the standard tab says nobody, unless the firm's policies and procedures record an additional notice. |
| Actions | the actions offered when such a document is filed (section 12), each with its "how" where it reaches the client | Offered, never started, by the rule. |
| Relevant law | every statute, regulation and decision the document's clips, told and actions rest on, each labelled binding or persuasive | Required. A line with no authority says firm practice or no statutory period (section 13). |
| Overrides | each firm line that changes the standard's, with direction, approver, date and reason | Section 10. |
| Version | the version of the policies and procedures the rule was published in | Every filing records it (section 14). |
A rule may be set on a tab or a sub-tab as well as on a document. A document's rule is the tab's, then the sub-tab's, then its own, each level adding to the one above. The firm's own lines may be replaced at a lower level; the standard's clips are never replaced, only added to.
Every calendar entry and task carries one date rule, in this grammar:
date-rule = n unit ( "after" | "before" ) anchor
| "on" anchor
unit = "days" | "business days" | "weeks" | "months"
n = 0, 1, 2, … (0 days after = the same day)
anchor = one of the anchors below
| Anchor | The date it means | Read from |
|---|---|---|
received | the day the document entered the file (the filing note's line 2) | the way in — the fax or e-mail time, the mail log, the portal |
served | the date of service of the document on the party the clock runs against | the proof of service, else the document; where neither says, the clip is a set date task (below) |
document date | the document's own date — the date in its name (section 4) | its face |
date it states | a date the document itself sets: a hearing, a deposition, a reply-by date, a production date | its face |
exam date | the date of an evaluation or examination | the appointment notice, else the report |
mailed | the date the document was mailed to the party (an IMR determination) | the document or its envelope |
filed | the date the firm sent, filed or signed a document it made (section 4's made event) | the firm's own record |
hearing date | the date of a noticed hearing or conference | the notice of hearing |
liability resolved | the date a dispute of liability becomes final | the order, stipulation or notice that ends it — a person records it |
date of injury | the date of injury; on a cumulative trauma, the period's end date (section 8), both dates shown | the case |
date of death | the date of death | the case |
services date | the date a lien claimant's services were provided | the lien |
A task or entry is for a role — the attorney, the case manager, the paralegal, bookkeeping — or for the case team (every role on the case) or the whole team (everyone in the firm who works the case). The firm's policies and procedures bind roles to people (decision D5). A person is named only there, never in the standard; and a task goes to a person, never to a shared login that cannot say who did the work (section 14).
A conforming system exchanges a rule in this form. The field names are normative; the values below are a fictional firm's rule for a UR denial or modification. Order of keys is free; unknown keys are kept, not dropped. Every id is a permanent identifier (section 2, the identity rule); every shown is the code and label for display, recomputed on export and never read as a reference.
{
"standard": "AAI-STD 1", "edition": "2.0",
"policies_procedures": { "version": 12, "status": "published",
"published": "2026-10-06", "approved_by": { "role": "attorney", "person": "p-01" } },
"document": {
"id": "d-7f3k2q", "name": "UR denial or modification", "short": "ur-denial",
"type": ["UR-DENIAL", "UR-MOD"],
"tab": { "id": "t-4c9e1a", "shown": "M4 UR / IMR" },
"subtab": { "id": "s-2b81d0", "shown": "M4.1 UR determinations" },
"standard_tab": 8,
"file_name": "{date}_{type}_{source}_{descriptor}_f{file}",
"tags": ["UR & IMR"],
"calendar": [
{ "id": "c-91a4", "title": "IMR request: last day (10 if a formulary dispute — the attorney says)",
"who": "case-team",
"rule": { "n": 30, "unit": "days", "dir": "after", "anchor": "served" },
"exception": { "n": 10, "when": "formulary dispute" },
"authority": ["LC 4610.5(h)(1)", "8 CCR 9792.10.1"], "source": "standard" } ],
"tasks": [
{ "id": "k-5e07", "title": "Decide on IMR for what was not certified",
"who": "attorney",
"rule": { "n": 5, "unit": "days", "dir": "after", "anchor": "received" },
"authority": [], "basis": "firm practice", "source": "firm",
"override": { "direction": "stricter", "of": "c-91a4",
"approved_by": { "role": "attorney", "person": "p-01" },
"approved": "2026-10-01", "reason": "act on every denial within a week" } } ],
"told": { "roles": ["case-manager", "attorney"], "by": ["note", "email"] },
"actions": ["imr-application", "notify-client"],
"law": [
{ "cite": "LC 4610.5(f), (h)(1)–(3)", "kind": "statute", "weight": "binding" },
{ "cite": "8 CCR 9792.10.1", "kind": "regulation", "weight": "binding" },
{ "cite": "LC 4610(l)–(m)", "kind": "statute", "weight": "binding" } ]
}
}
The same rule, as a person reads it:
| Part | UR denial or modification · ur-denial |
|---|---|
| Place | M4 · UR / IMR › M4.1 UR determinations (standard tab 8) · UR-DENIAL or UR-MOD · identifier d-7f3k2q |
| Name | {date}_{type}_{source}_{descriptor}_f{file} → 2026-08-11_UR-DENIAL_Carrier_Surgery_f10482.pdf |
| Calendar | IMR request: last day — case team — 30 days after served (10 if a formulary dispute: the attorney says) — LC 4610.5(h)(1) · standard |
| Tasks | Decide on IMR for what was not certified — attorney — 5 days after received — firm practice · firm, stricter; approved by the attorney 2026-10-01 |
| Told | case manager and attorney (standard tab 8: the attorney on every denial or modification) — by note and email |
| Actions offered | IMR application; notify the client (section 12) |
| Relevant law | LC 4610.5(f), (h)(1)–(3) · 8 CCR 9792.10.1 · LC 4610(l)–(m) — all binding |
| Version | Policies & Procedures version 12, published 2026-10-06 |
| State | Rule |
|---|---|
| Draft | Every change — a tab renamed or reordered, a document moved, a task added, a rule copied — is made to a draft. A draft governs nothing: documents keep filing under the published rules while it is edited. |
| Publish | An attorney of the firm publishes the draft. Publishing shows every change against the published version first, records who published it and when, and gives the result the next version number. One version is in force at a time. |
| History | Every published version is kept, whole, with its changes and its approver. History is never edited. |
| Restore | An earlier version is restored by publishing it again, as a new version. The versions in between stay in the history. |
| Already clipped | A new version never re-dates a clip already made under an earlier one. Where a change would have clipped an existing document differently, the system lists those documents for a person to look at; the person decides, and the note records it. |
| Rename, reorder | A rename changes a label; a reorder changes the codes. Neither changes an identifier, so no rule, filing, note, copy or law link changes with them. The history shows each tab, sub-tab and document under the code and label it had in each version, read through its identifier. |
| Copy a rule | A rule may be copied from one document to another, or from one to many, in whole or in parts (tags, tasks, calendar, told, actions), either adding to the target's lines or replacing the firm's own lines in it. The copy records the identifier of the rule it came from. A copy is a draft change like any other, and an undo is one step. |
Filing a document answers the three questions. It does not answer the fourth, which is the reason the firm exists: what do we do about it? An action is the standard's name for the answer — a named chain of steps, owned by roles, ending in something produced: a packet, an objection, a petition, a letter to the client. The chains are the case book's (the procedure the firm works from, one chain per thing that happens in a case); this section fixes how an action is written down, offered and recorded, so that the file says what was done and who decided it.
| Field | Content |
|---|---|
| Name and short name | "IMR application" · imr-application |
| Offered by | the document kinds whose rule lists it |
| Posture | how the firm stands to the clock, in the case book's five words: fatal if late (a limitation the firm cannot recover), they moved (the other side started a clock), we moved (the firm started one), either side, routine (no clock) |
| Earliest move | when the firm may lawfully start: open (any day — no waiting period), unlock (a right that exists only once a period has run and the other side did not act — say so the day it opens), or floor (a period the firm must wait out; moving early is defective, not fast) |
| Deadline | the clip it answers (section 7), or "none — the attorney sets one" |
| Steps | in order; each with a title, the role that owns it, a date rule (section 11), what it produces, what it needs first, and a file-note template — the sentence the person fills in so the file says what happened, not that a box was ticked |
| Templates | the forms and letters it uses, by name |
| Status | proposed (offered) → started → done, or declined; each change with who and when; "declined" with a reason |
| Decided by | the attorney (or the role the rule names) who started or declined it |
| Relevant law | as section 13 |
From the case book's chain "Treatment is refused" (a UR-DENIAL or UR-MOD, standard tab 8). Posture: they moved. Earliest move: open. Deadline: the IMR request, 30 days from service on the employee (10 for a formulary dispute) — LC 4610.5(h)(1).
| # | Step | Owner · when | Produces · needs first | File-note template |
|---|---|---|---|---|
| 1 | Read the descriptor — denial, modification, deferral, delay or approval — before anything else; it decides whether there is a clock at all | case manager · same day | — | UR decision dated {date}: {denial / modification}. Clock runs. |
| 2 | Find the service date: the proof of service, else the cover, else the fax header — and record which | case manager · same day | the IMR window's start | Service date {date}, taken from {where}. IMR window closes {date}. |
| 3 | Tell the attorney | case manager · same day | — | Attorney told {date}. |
| 4 | Check the letter carries what IMR needs and the firm's address is current | case manager · 1 day | a letter fit to send, or a stop | Letter checked {date}. {Complete / missing: …}. Address {current / corrected}. |
| 5 | Build the packet — one PDF, in section 8's order | case manager · 3 days | the IMR packet · needs the served application, a signed authorization and designation | IMR packet assembled {date}: {N} pages, {components}. |
| 6 | Approve the send | attorney · before it goes | the approval, on the file | Packet approved by {who} {date}. |
| 7 | Send it and file the copy at standard tab 9 | case manager · the day of approval | the sent packet, IMR-APP | IMR application sent {date} to the AD; copy to the administrator. Filed. |
| 8 | Watch for the Notice of Assignment | case manager · 15 days after filed | the NOA's clip (section 7) | NOA {received {date} / not received as at {date}}. |
One firm's thirty days of incoming mail showed that the first thing staff did about a document, far more often than making a task, was to call the client. The standard therefore makes client communication an action of its own, with its "how" written in the rule:
| How | Content |
|---|---|
| Channel | one or more of: a message through the firm's client portal, a text message, an e-mail, a letter, a phone call (which is a task for a person, with a note of the call after) |
| Language | the client's language, as the cover records it; a fixed language only where the firm's rule says so |
| Who | the role that sends or calls |
| When | a date rule (section 11): "same day", "2 days after received" |
| Sending | drafted for staff to send, or sent after staff approves the exact text — nothing else |
| Message | a template that fills from the document — what arrived, from whom, what it means in plain words, what the firm is doing next — never a legal conclusion the attorney has not made |
The firm may add its own. Each cites the law it rests on; where the case book or this standard marks a period unverified, the action says so.
| Action | Offered by | Posture · earliest | Produces | Law |
|---|---|---|---|---|
| Notice that the 90-day presumption has attached | claim form; no denial within the period | they moved · unlock (day 91; day 76 for the presumptive injuries) | letter to the carrier | LC 5402(b)(1)–(2) |
| Serve the claim form where the employer never received one | intake | we moved · open | the DWC-1, served; the presumption's start date | LC 5401, 5402(b) |
| Objection to a treating physician's determination, then the panel request | PR-2, PR-3, PR-4, DFR that decides something | they moved · open | objection letter; panel request | LC 4062(a), 4062.2 |
| QME panel strike, then scheduling | panel list | they moved · open | the strike, served; the appointment | LC 4062.2(c); 8 CCR 31.3(d) |
| Records and advocacy to the evaluator | a scheduled evaluation | either side · floor (served 20 days before they go) | the letter, its records and its proof of service | LC 4062.3(a)–(e); 8 CCR 35(d) · Maxham |
| Objection to the other side's records to the evaluator | their proposed records | they moved · open | objection, served | LC 4062.3(b); 8 CCR 35(d) · Suon |
| IMR application | UR denial or modification | they moved · open | the IMR packet | LC 4610.5(f), (h); 8 CCR 9792.10.1 |
| Re-send the request for authorization when liability resolves | UR deferral | they moved · unlock | the request, again | LC 4610(l)–(m) |
| Ask the treating doctor for a new request for authorization | UR denial or delay for missing information | they moved · open | letter to the doctor | firm practice |
| Demand the treatment where the UR decision was untimely | a UR decision found out of time | they moved · unlock | demand letter; a petition if refused | Dubon (en banc, 2014) — see section 8a |
| Appeal of an IMR determination at the Board | IMR determination upholding a denial | they moved · open | verified appeal, filed and served | LC 4610.6(h) |
| Objection to the other side's DOR | their DOR | they moved · open | objection, signed by the attorney, filed and served | 8 CCR 10744(a), (c)–(d); 10605 |
| Petition for reconsideration, or for removal | a Board order, decision or award | they moved · open | the petition | LC 5903; 8 CCR 10940, 10945, 10955 · Vazquez |
| Request disclosure of the liable entity | an administrator's letter that names no client | they moved · open | disclosure request | Coldiron I & II; DiFusco; 8 CCR 10390(c) |
| Demand the late-payment increase | a temporary disability payment made after its 14 days | they moved · unlock | letter to the carrier | LC 4650(a), (d) |
| Payment follow-up after an award or order approving | award; order approving | we moved · floor (the order's date, else 30 days) | letter; a penalty question for the attorney | LC 5814 |
| Possible new injury: open a case? | a document whose date of injury and claim number match none of the client's cases | routine · open | a task to intake; a new case if the attorney says | firm practice (section 3, step 3) |
| Tell the client | any document the firm's rule names | routine · open | the message or the call, on the file | firm practice |
Every clip in this standard names its authority, and edition 2.0 extends that to everything a rule says: each document in the list, each line of each rule, each action names the statute, regulation or decision it rests on — or says plainly that it rests on none. That is what lets the file answer the question that matters when the law moves: what in our folder depends on this?
| Label | What carries it | Basis |
|---|---|---|
| Binding | the Labor Code and other statutes; Title 8 of the California Code of Regulations; en banc decisions of the Appeals Board | En banc decisions "are binding on panels of the Appeals Board and workers' compensation judges as legal precedent" (8 CCR 10325(a)). |
| Persuasive | significant panel decisions of the Appeals Board; other panel decisions | Significant panel decisions "involve an issue of general interest to the workers' compensation community but are not binding precedent" (8 CCR 10325(b)). |
| Firm practice | a task, date or notice the firm chose | No authority; the firm's policies and procedures say who approved it (section 10). |
| No statutory period | a date somebody must set because the law sets none (a reply-by date, a supplemental request) | Section 7 names who sets it. |
| Unverified | a citation not yet checked against the primary text | Shown as unverified — attorney to confirm until it is; it never becomes a dated clip while unverified. |
Each citation carries the date it was last checked against the primary text, and where (section 20 is that record for this page).
A conforming system keeps, for every authority, the list of documents, rule lines and actions that cite it. It is derived from the rules — like the spine's index, it is a view, never a second list kept by hand. It is how a change to one section of the Labor Code, or a new en banc decision, finds every place in the firm's folder it touches.
A new en banc decision, a significant panel decision, an amended statute or regulation, a new DWC form: each is handled the same way, and nothing in the firm's folder changes until an attorney says so.
A worked case from edition 1.9: the Board's 60 days to act on reconsideration from transmission of the case, added to LC 5909 with a July 1, 2026 sunset by Stats. 2024, ch. 52 and re-enacted without one by SB 171 (Stats. 2026, ch. 83), effective July 13, 2026 — one statute, one row of section 7, two en banc decisions construing it, and the documents (petitions and the judge's Report & Recommendation) whose clips it governs.
Where to watch, informatively: the Appeals Board's en banc list and its significant panel decisions; the Legislature's code pages for the Labor Code; Title 8 of the Code of Regulations; the Division of Workers' Compensation's forms and announcements.
A case file kept by rules is still the attorney's file. These principles say what that means for any system that keeps it, whatever it is built from.
| Principle | What it requires |
|---|---|
| The firm approves its rules. | No policy, procedure or override governs a filing until an attorney of the firm has published it (sections 10, 11). A system's own defaults are the standard's lines, nothing more. |
| Every filing says what produced it. | The filing note records the rule and its version — or "by hand" — and the edition of the standard the system follows (section 2, line 8). Anyone can ask why a document is where it is and get the rule line as the answer. |
| Every decision has a name on it. | A pocket decision, an action started or declined, an override, an approval to send: each records the person and the date. Work is assigned to people, not to a shared login, so the file can say who did it. |
| Nothing outward without a person. | Section 12. |
| Corrections are made on the record. | A wrong filing is not deleted. It is moved or renamed (a document refiled to another case is renamed, section 4), and a note on it says what was wrong, who corrected it and when; the original note stays. A clip made from a wrong date is replaced, and the note says so. |
| Doubts are written down. | A filing made on a name alone, or over a disagreement between the document and the file, says so in the note (section 3, step 3) — the file carries the doubt; nobody has to remember it. |
| The case system is the record. | The document, its note and its clips live on the case. A system that helps keep the file holds as little of its own as its proofs need, and nothing that would become a second record of the case. |
| Conformance is stated. | A system says which edition of this standard it follows and is measured by section 15. |
Once a week, from the queue and the cases: how many pieces went behind each tab; how many landed in the pocket and why; how many clocks were clipped and how many were met; how long a piece took from entry to proof. The tabs that stay empty for a quarter are proposed for merger in the next version of the standard; the pocket reasons that recur become rules; a clock missed twice becomes a louder clip. The folder is a belief until it is measured.
Two measures are new in 2.0. Name-only filings (section 3, step 3) are sampled each week, and a person confirms or corrects each one sampled; a correction is made on the record (section 14). And for every task a rule makes: was it worked? A rule whose tasks are not worked is changed — in one firm's thirty days of mail, staff completed 62 percent of the tasks they made themselves and 4 percent of those a tool made for them automatically, and 70 percent of incoming documents drew no follow-up at all. A task nobody works is not a safeguard; it hides the ones that are.
A case-keeping system — or a clerk with a brown folder — conforms to edition 2.0 when it: (1) files every document to a place that maps to exactly one standard tab, or to firm records; (2) names it to the grammar, or to the pattern the firm's procedure records; (3) clips every clock of section 7 from the date the clock runs from; (4) tells the roles section 2 names, and records every notice the firm adds; (5) keeps the pocket, each piece with its reason; (6) proves every step on the case before calling it done; (7) keeps the firm's policies and procedures, their versions and its law index as sections 10 to 14 describe; (8) gives every tab, sub-tab and document a permanent identifier and an explicit order value, references each only by its identifier, and shows the codes as display order only (section 2, the identity rule); and (9) says which edition it follows. What a particular system writes, and how it proves it, belong to its own documentation, not to this standard. Conformance is measured by section 15.
Informative. Brown Folder, a case-folder application for California applicant firms, is a reference implementation of this edition. The standard does not depend on it.
Automated processing is held to exactly this page and to the same outcomes as a clerk: the same four checks before filing, the same pocket, the same proof read back from the case, the same note. A person approves every send and every pocket decision, and an attorney of the firm approves every rule.
Before this edition was drafted, every source of filing practice the standard touches was set side by side — this page (1.9), the case book and its earliest-move companion, a rules engine built to 1.9, two firms' working rules, and one firm's thirty days of incoming mail — and nineteen places were found where they disagree. Each is settled below, or put to the editor. Decided means the operator of this standard has ruled and the text follows the ruling. Settled means the evidence decides it and the text says why. Decision for the editor means the text carries the best-supported answer, marked, with the other options beside it, until the editor approves one.
| # | Conflict | How 2.0 settles it | Status |
|---|---|---|---|
| — | The folder's layout: fifteen tabs across the front (1.9), or fewer, named as the bar names the parts of a case | Nine tabs named in the terms of art, with the fifteen standard tabs beneath them as the sources of the sub-tabs and the unit every clock and "told" is defined on; the map from each standard tab to its place in the nine is shown everywhere (section 2). | Decided (operator, 2026-10-06) |
| K1 | Case matching: two agreeing identifiers (1.9), or the name and one case (practice) | An exact name with exactly one case files there, every discrepancy written in the note; several cases or similar names are decided from the cases' facts and checked; otherwise the pocket (section 3, step 3). Name-only filings are sampled weekly (section 15). | Decided (operator, 2026-10-05) |
| K2 | Two cases fit: the pocket, or a copy on each | A document that itself names two of the client's cases (two ADJ numbers) is filed on each, each with its own note; any other two-case doubt that the facts do not settle goes to the pocket. | Decided (operator, 2026-10-05) |
| K3 | The file name: the standard's grammar, or a client-surname name with hyphens | The grammar stays the default; a firm pattern is a recorded departure. | Decision D1 |
| K4 | Who is told: "nobody" where the tab says so, or a review task and e-mail on every filing | The standard's "told" stands; a firm's extra notice is an additional override in its policies and procedures (section 10). | Decided (operator, 2026-10-06) |
| K5 | Roles: five answers, but firms have fewer roles and named people | Five roles stay the vocabulary; the firm's policies bind them. | Decision D5 |
| K6 | A rules engine built to an earlier edition | Conformance names the edition followed (section 14). The engine's specific gaps (PR-3 on the wrong tab, the 12/10/24-hour NOA windows, the three-date statute, the firm's own-document clocks) are corrected by following this page. | Settled |
| K7 | 75 or 90 days; 10 or 30 days — which period the date shows | The ordinary period is dated, the exception named beside it — unless the document itself shows the exception applies. | Decision D4 |
| K8 | IMR supporting records: 15, 12, 10 days or 24 hours | Section 7 as in 1.9 (8 CCR 9792.10.5), all four windows on the clip; the case manager is told the day the notice arrives. A firm may act sooner (an override). | Settled |
| K9 | UR denial: 30 days from service, or 5 days from receipt | The 30 days (10 formulary) stay the legal clip and the outer limit; the firm's 5 days are a stricter override on the task, and never hold back the filing (section 10's example). | Decided (operator, 2026-10-01 and 2026-10-05) |
| K10 | UR deferral and delay filed as a denial | Their own codes, UR-DEFER and UR-DELAY, adopted (section 5): a deferral can no longer carry an IMR date it does not have. | Settled |
| K11 | The case book's chain headers name a different tab from the standard's | The standard's tab governs; the case book names the tab the code's rule picks. | Settled |
| K12 | DISCOVERY, a code the standard does not have | Written discovery stays CORR at standard tab 12 (M6 · WCAB › M6.10 Written discovery), as 1.9's CORR row says; the case book follows. | Settled |
| K13 | "OACR" means two documents | See D3. | Decision D3 |
| K14 | Objecting to the other side's DOR: no clock (1.9), 25 days (case book), "ASAP" (a firm) | 10 calendar days after service, extended by 8 CCR 10605 for service other than personal, verified against 8 CCR 10744. | Decision D2 |
| K15 | Hearings: whose calendar, and a prep task nobody works | The hearing date is calendared for the case team; the discovery cutoff at the MSC stays (law); the week-before prep task becomes the firm's choice (section 7, Tab 3 row). | Settled |
| K16 | Clocks the firm does not work | A legal clip is never removed — the firm may keep it as a calendar entry rather than a task; practice-only tasks are the firm's to add or not. | Settled |
| K17 | The filing note: seven lines, or a desk's own note | Nine lines (section 2): 1.9's seven, plus the rule and version, and what matched the case. | Settled |
| K18 | The same document twice | As 1.9 — filed once — and the set-aside copy becomes a note on the first filing ("second copy received by fax on …"). | Settled |
| K19 | Urgency: a firm's "Urgent" flag vs the standard's clips | No urgency flag: each clip has its own date, and each action its posture (section 12). A firm's "urgent" is a stricter override (same-day task). | Settled |
| — | Twelve CORR documents filed on tabs CORR's rule does not list | See D6. | Decision D6 |
Decision for the editor · D1 · The file-name grammar: the file number or the client's surname
The conflict. 1.9's grammar ends every name with the firm's file number (_fNNNNN) and forbids the client's name. A filing check in practice requires the client's surname in the name, with hyphens only, as a guard against filing on the wrong client; firms' own names use surnames.
Recommended (A) — the text of this edition. Keep the grammar: {date}_{type}_{source}_{descriptor}_f{file}. The file number does the guard's work — it is written from the case filed on, so a check can compare it with that case — and it discloses nothing about the worker when the file leaves the case system. A firm pattern that uses {client-last} is allowed as a recorded departure (section 10).
Other options. (B) Make the surname the standard's last segment instead of the file number. (C) Carry both — surname, then file number.
Evidence. 1.9 section 4's reason for the file number; the filing guard's rule; the firms' naming styles in the 30-day study. Consequence of B or C: section 4's "never in a name: the client's name" changes, and every example in section 6.
Decision for the editor · D2 · Objecting to the other side's DOR: 10 days, not 25
Recommended (A) — the text of this edition. A standard-tab-3 clip: objection filed and served within 10 calendar days after service of the declaration (8 CCR 10744(a)), +5 / +10 / +20 days where it was served other than personally (8 CCR 10605); executed by the attorney when the party is represented (10744(c)); a failure to object waives objections absent extraordinary circumstances (10744(d)). The attorney is told the day it arrives.
Other options. (B) The case book's 25 days — no authority for it was found; 10744 says 10. (C) No clip; the attorney sets a date.
Evidence. 8 CCR 10744 and 10605, read at dir.ca.gov on 2026-10-06 (section 20). The case book cites no source for 25.
Decision for the editor · D3 · What "OACR" means
The conflict. 1.9 uses OACR for the firm's proposed order or award (EAMS: PROPOSED ORDER/AWARD). Firms read OACR as the Board's Order Approving Compromise and Release, and this edition's own sub-tab is named "OACR & award" in that sense.
Recommended (A) — the text of this edition. Keep OACR as 1.9 defines it, so that no filed name changes meaning. The Board's order approving is ORDER at standard tab 14 with Descriptor Order-Approving-CR; a document labelled "OACR" is read for what it is, not for its label.
Other options. (B) Redefine OACR as the order approving (the trade's meaning), and give the proposed order a new code (for example PROPOSED). (C) Retire OACR: the order is ORDER, the proposed order a new code.
Evidence. 1.9 section 5; two firms' usage; the sub-tab name the operator chose. Consequence of B: names filed under 1.9 with OACR mean something different under 2.0; section 19 would have to say so.
Decision for the editor · D4 · 75 or 90, 10 or 30: which period is dated
Recommended (A) — the text of this edition. The clip is dated with the ordinary period (90 days, LC 5402(b)(1); 30 days, LC 4610.5(h)(1)) and names the shorter one in its title ("75 if a presumptive injury — the attorney says"; "10 if a formulary dispute"). Where the document itself shows the exception applies — a denial that names a formulary drug — the shorter period is dated.
Other options. (B) Date the shorter period always, as the case book's badge does ("the one that can be missed"), and let the attorney lengthen it. (C) Date both.
Evidence. 1.9 and the rules engine (A); the case book's badges (B). (A) never invents an early deadline; (B) never misses the short one but puts a wrong date on most files; (C) doubles the clips.
Decision for the editor · D5 · Five roles, or the firm's own
Recommended (A) — the text of this edition. The five answers stay the standard's vocabulary (attorney, case manager, paralegal, bookkeeping, nobody). The firm's policies bind each role to people — one person, several, or the case team — and says what happens to a role nobody fills (for example, "case manager → the paralegal"; "bookkeeping → no notice, review list"). A role with no binding goes to the responsible attorney, and the note says so.
Other options. (B) Reduce the standard to four (attorney, paralegal, case team, nobody), as one firm's rules page does. (C) Let each firm define its roles freely.
Evidence. 1.9 section 1; one firm's rules page has no case manager or bookkeeping; the 30-day study found one person doing most filing under a different title, and most staff tasks assigned to a shared login.
Decision for the editor · D6 · Correspondence that belongs to a tab other than standard tab 4
The conflict. 1.9's CORR row sends a letter to standard tab 4 unless it is about one of nine listed subjects. Twelve kinds of the document list are letters and forms about other subjects — a firm notice to the carrier on the claim (1), a trial brief (3), a physician designation, a carrier's MPN notice and a firm letter on treatment (5), a UR challenge (8), the Return-to-Work & Voucher Report, a wage statement request and a benefit demand (10), a produced case report, an EAMS cover sheet and an email saved to the case (firm records) — and practice files them with their subject.
Recommended (A) — the text of this edition. Restate CORR's rule: a letter goes behind the standard tab of the matter it is about — the claim → 1; the judge or a pleading → 2; a hearing or trial → 3; treatment or the choice of physician → 5; the evaluator → 6; a rating → 7; UR → 8; IMR → 9; benefits, wages, return to work or other benefits → 10; a payment, EOB or bill → 11; discovery → 12; records → 13; settlement or an MSA → 14; a lien claimant → 15; intake, fee or address → cover; the firm's own working records → firm records; anything else → 4.
Other options. (B) Keep 1.9's list and move the twelve to standard tab 4. (C) Give each a code of its own.
Evidence. The document list's twelve exceptions (v5); the case-file tabs and sub-tabs proposal, which placed each with its subject.
Every change, with its reason. "The study" is one California applicant firm's incoming mail over thirty days (409 incoming documents, 266 of them followed for the work that came after), reported in aggregate only. Edition 1.9 remains published at /1.9.
| # | Change | Where | Reason and evidence |
|---|---|---|---|
| 1 | One edition number. This page is edition 2.0, October 2026, everywhere it names itself. | masthead, running head, notice, footer | 1.9's page called itself edition 1.8 in its masthead, running head, notice and print footer, and 1.9 only in its closing line. |
| 2 | Nine tabs over the fifteen. The folder opens on nine tabs named in the terms of art; the fifteen become the standard tabs beneath them, unchanged in substance, each landing in exactly one of the nine. | section 2; clerk's sheet; Figure 1 | The operator's decision of 2026-10-06. The fifteen are kept so that every clock, "told" and TYPE code reads exactly as in 1.9 and a fifteen-tab firm still conforms. |
| 3 | Sub-tabs — sixty-two under the nine tabs, three under firm records — each drawn from one standard tab. | section 2 | The case-file tabs and sub-tabs proposal (2026-10-06): every document kind placed under exactly one divider. |
| 4 | Firm records, a defined section outside the numbered tabs, and the code FIRM-RECORD. | sections 2, 5 | 1.9 had no home for the firm's working records; they went to CORR and behind standard tab 4. The document list (v5) proposed the code. |
| 5 | The gap areas placed: ratings, offsets and other benefits, employment and wage records, civil and other agencies, and four named money areas (penalties and interest, costs advanced, trust and disbursement, attorney fees). | section 2 | Paper that arrives on real files and that 1.9 named nowhere. |
| 6 | The document list — 142 document kinds, each with its TYPE code, standard tab, nine-tab place, short name and variants — becomes normative. | Appendix A | The document lists v4 and v5 (2026-10-05): 347 names reduced to 136 kinds by one rule (a kind gets its own entry only when the firm handles it differently — tab, clock, person told or response owed), assigned to the standard's codes; six gap-area kinds added. |
| 7 | UR-DEFER and UR-DELAY adopted, as 1.9's gaps list had named them. | sections 5, 6, 7 | Conflict K10: a deferral filed as a denial carries an IMR date for an appeal that does not exist. |
| 8 | Case matching: an exact name on exactly one case files, its discrepancies in the note; several cases or similar names are decided from the cases' facts and checked; a document naming two of the client's cases is filed on each; a date of injury and claim number matching none of the client's cases is filed and sent to intake as a possible new injury. The three checks become four. | clerk's sheet; sections 3, 8, 9 | The operator's rules of 2026-10-05 (K1, K2). Two agreeing identifiers left documents with an unmistakable name and one case waiting; the note and a weekly sample carry the doubt instead. |
| 9 | The filing note gains two lines: the rule and version that produced the filing, and what matched the case. A second copy set aside becomes a note on the first. | section 2 | K17, K18; attorney control (section 14). |
| 10 | Clocks added, verified against the primary text: the objection to the other side's DOR (8 CCR 10744, 10605); the appeal of an IMR determination (LC 4610.6(h)); the first temporary disability payment and its 10 percent increase (LC 4650(a), (d)); the serious-and-willful petition (LC 5407); the dependants' death claim (LC 5406); how a period is counted (8 CCR 10600). | section 7 | The case book carried four of these marked "not verified against the standard"; K14 for the DOR objection, where the case book's 25 days has no source and the regulation says 10. |
| 11 | The 75-day presumption, re-cited: LC 5402(b)(2), for the injuries of LC 3212–3212.85 and 3212.9–3213.2 — not "3212–3213.2" as 1.9 said, which swept in sections the 75 days do not reach. | sections 2, 7 | The statute's text, read 2026-10-06. |
| 12 | The week-before hearing prep becomes the firm's choice; the hearing itself is calendared for the case team; the MSC discovery cutoff is unchanged. | sections 2, 7 | K15. In the study, every hearing staff calendared went to the whole team, and none of the nineteen generic prep tasks a tool made was worked. |
| 13 | The firm's Policies & Procedures — its policies (decisions such as "UR denials acted on within 5 days") and its procedures (each document's rule): what a firm may add, rename, reorder, remove or make stricter; what it may not change; overrides with their approver. | section 10 | No two firms keep the folder alike; the standard now asks that the differences be recorded rather than forbidden. K4, K9, K16, K19 are settled through it. |
| 14 | The rule for each document: a fixed format, human and machine-readable; the date-rule grammar and its anchors; draft, publish, history, restore. | section 11 | The folder design behind this edition (an editable folder with a rule per document) and the firms' rules pages. |
| 15 | Actions: what the firm does next, from the case book's chains — steps, owners, deadlines, file-note templates, status, who decided — with posture and the earliest lawful move; client communication as an action with its channel and language; nothing outward without staff. | section 12 | The case book and its earliest-move companion. In the study, the first follow-up to a document was usually a call to the client, staff completed 62 percent of the tasks they made and a tool's automatically made tasks 4 percent: actions are offered, not imposed. |
| 16 | The law layer: every rule line cites its authority, labelled binding or persuasive; a law index; a process for law changes that an attorney approves. | section 13 | 8 CCR 10325(a)–(b); the need to find what a new decision touches. |
| 17 | Attorney control and audit: approval of rules, the rule version on every filing, names on every decision, corrections on the record. | section 14 | A file kept by rules is still the attorney's file. |
| 18 | Dubon (en banc, 2014) added to the en banc rules, and every authority labelled binding or persuasive. | section 8a | The UR rows rest on it; it is on the Appeals Board's en banc list. |
| 19 | Vendor-neutral. 1.9 named two products in "where it runs" and described an automated process step by step; 2.0 says what a conforming system does and names one reference implementation once, in an informative note. | sections 16, 17 | A standard describes outcomes, formats and rules. |
| 20 | Examples carry the file number (_f10482, fictional). | section 6 | 1.9's grammar required it; 1.9's examples omitted it. |
| 21 | CORR's tab rule restated (pending D6); OACR kept (pending D3). | section 5 | The document list's twelve exceptions; two firms' use of "OACR". |
| 22 | Pocket reasons follow the matching rule; a returned envelope and a possible new injury no longer wait. | section 9 | K1, K2. |
| 23 | Sections renumbered after section 9: measuring is 15, where it runs 16, the case system 17, verification 20. | throughout | Sections 10–14, 18 and 19 are new. |
| 24 | Codes and the identity rule. The nine tabs are coded M1 to M9, their sub-tabs M1.1, M1.2 … in order within each tab, and firm records F, F.1 …; the codes appear in the folder, the clerk's sheet, the sub-tab table, the examples and Appendix A. Every tab, sub-tab and document has a permanent identifier, never derived from its name or position, and every reference — rule, filing, the filing note's rule line, history, copies, law links — uses it; the codes are display order only, and a conforming system keeps an explicit order value. | sections 2, 10, 11, 16, 17; clerk's sheet; Appendix A | The operator's decision of 2026-10-06. A reference by name breaks when a tab is renamed, and a reference by position when one is reordered; firms do both (section 10). |
Open after this edition (teiku): decisions D1–D6 (section 18); the remaining vocabulary gaps (ML-SCHED, PAYMENT, RR, RATING, MSA, DEMO, CHRONO, REPORT); non-medical records obtained still carry MEDREC (a RECORDS code was considered and not proposed); the reporter page for Dubon.
Every citation carried from edition 1.9 was checked on 2026-08-28 against the primary text — the Labor Code, Code of Civil Procedure and Evidence Code at leginfo.legislature.ca.gov; Title 8 of the California Code of Regulations at dir.ca.gov/t8; the Appeals Board's en banc decisions; and, for the vocabulary, DWC's EAMS Document Titles List (Rev. 11/2017), the "Document type and document titles for ADJ cases" sheet (Rev. 9/2010), the EAMS e-form filers' guide (Rev. 2013-12, incorporated by 8 CCR 10206), the EAMS OCR handbook (Rev. 7/2012) and the form numbers printed on the DWC forms themselves. Nothing here rests on a secondary summary except two reporter page numbers, marked in the table. Counsel confirms before relying; legal information, not advice.
Every citation edition 2.0 adds or changes was checked on 2026-10-06, as the first three rows say. The Division of Workers' Compensation's and the Appeals Board's own pages (dir.ca.gov) were read directly. The Legislature's code pages (leginfo.legislature.ca.gov) refused automated reading that day, so the Labor Code sections were read from california.public.law's copy of the code; they are marked so, and counsel confirms them against the official text.
| Item | Result |
|---|---|
| 2.0, dir.ca.gov: 8 CCR 9785(a); 10325(a)–(b); 10600(a)–(b); 10605(a)–(b); 10744(a)–(d); the Appeals Board's en banc index (no en banc decision after Gaines, June 24, 2026; Dubon, Oct. 6, 2014, ADJ4274323, and its holding as indexed) | Confirmed as stated, 2026-10-06. |
| 2.0, Labor Code (california.public.law copy): LC 3600(a); 4062(a); 4600(a), (d); 4610(a), (l), (m); 4610.5(f), (h)(1)–(3); 4610.6(h); 4650(a), (b), (d); 4903; 5402(b)(1)–(2); 5406(a)–(b); 5407; 5814(a)–(b) | Confirmed as stated against that copy, 2026-10-06; to be confirmed against leginfo. Two corrections follow from them: the 75-day presumption reaches LC 3212–3212.85 and 3212.9–3213.2 (1.9 said 3212–3213.2); LC 5407 has no subdivisions (the case book cites "5407(a)"). |
| 2.0, not verified: the text of the Dubon II opinion and its reporter page (79 Cal.Comp.Cases 1298); the case book's 25 days to object to a DOR (no source found; 8 CCR 10744 says 10) | Unverified — attorney to confirm. Dubon is stated as the Board's index states it; the 25 days is not used. |
| LC 130; 139.2(j)(1); 3212–3213.2 (the presumptive injuries, by reference); 4062(a); 4062.2(c); 4062.3(a)–(g); 4062.5; 4610(l)–(m); 4610.5(f), (h)(1)–(3); 4658(d)(2)–(3); 4658.1(a)–(c); 4658.7(b), (d), (h); 4903.05; 4903.5; 4906(a), (d); 5001; 5401; 5402(b); 5405; 5410; 5502(d)(3); 5702; 5708–5709; 5710(a)–(b); 5814; 5903; 5909 | Confirmed as stated. |
| 8 CCR 31.3(d)–(f); 31.5(a); 35(d); 9785.5; 9792.10.1; 9792.10.5; 10133.36; 10205.12; 10206; 10325; 10390(c); 10515; 10517; 10617(a)–(b); 10605(a)–(b); 10700(a)–(c); 10789(b)(1), (e); 10803(a)(2); 10832; 10844; 10875; 10888; 10940; 10945; 10955(a); AD Rule 10133.54 (cited only as held invalid in Dennis) | Confirmed as stated. |
| CCP 2025.270(a), (c); CCP 2020.410(c); Evid. Code 1560(b)(2); CCP § 473 | Confirmed as stated (the deposition, subpoena and default clocks). |
| Hamilton (2001); Coldiron I & II (2002); Messele (2011); Maxham (2017); Suon (2018); Dennis (2020); Vazquez (2025); Perez (2025); DiFusco (2025); Gaines (2026) | Confirmed as en banc decisions against the Appeals Board's own list and the decisions' text; case numbers, dates and reporter volumes as shown (the Suon and Dennis page numbers come from secondary reports — the Board's list gives the volume only). |
The Document Titles List is dated 2017 and the e-form guide 2013; no newer official list was found. Where the 2010 and 2017 lists disagree, the 2017 list governs here. If DWC republishes the list, section 5 is re-checked against it — a title is a fact about EAMS, not about this folder. The clocks that are not statutory periods (a supplemental request, a written-discovery response, a reply-by date, the award-payment check) say so and name who sets the date — the attorney, or for a reply-by date the case manager.
Normative. Every document kind this edition knows, under its tab, with its place (its sub-tab, by code in the standard's order — section 2; in a firm's folder the place is held by identifier, and the code follows the firm's order), its short name (the {document} token, section 4), its TYPE code (section 5), its standard tab (which sets its clocks and who is told, sections 2 and 7) and its variants — what its Descriptor distinguishes. "clock:" marks a clip of the kind's own; "act:" a response owed or someone told. 142 kinds: the 136 of the document list (v4) under the codes v5 assigned them, with UR-DEFER and UR-DELAY taking the deferral and the delay (section 5), and six gap-area kinds new in 2.0 (marked new).
How duplicates were resolved, so the list stays one list: a document gets its own entry only when the firm handles it differently — a different tab, a different clock, a different person told or a different response owed; everything else is a variant of one entry, under a real shared base name, and a close call stays separate. Each entry is one TYPE; where a kind could take two codes, the code the standard names for it decides (section 5), and a kind with no code of its own is CORR on the tab of its subject (decision D6).
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M1.1 Intake & identity | Intake form | intake | CORR | cover | intake packet / demographics sheet / dependency questionnaire | — |
| M1.1 | Client ID | client-id | CORR | cover | photo ID / health insurance card | — |
| M1.2 Authorizations & HIPAA | Client authorization | client-auth | HIPAA | cover | HIPAA / IMR representative designation / venue | — |
| M1.3 Fee agreement & disclosure | Fee agreement | fee-agreement | CORR | cover | client fee agreement / Fee Disclosure Statement / attorney fee division agreement | — |
| M1.4 Contact & address | Address change | address-change | CORR | cover | notice of change of address / returned mail | — |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M2.1 Claim form & employer's report | Workers' Compensation Claim Form (DWC-1) | claim-form | BENEFITS | 1 | — | clock: 90 days — presumption |
| M2.1 | Employer's Report of Occupational Injury or Illness (Form 5020) | employer-report | BENEFITS | 1 | — | — |
| M2.2 Acceptance, denial & delay | Claim denial letter | claim-denial | BENEFITS | 1 | — | act: answer the denial; statute set |
| M2.2 | Claim letter from carrier | claim-letter | BENEFITS | 1 | acceptance / delay (90-day letter) | — |
| M2.3 Notices to the carrier | Firm notice to carrier on the claim | claim-notice-firm | CORR | 1 | first notice of loss (FNOL) / 90-day presumption has attached | — |
| M2.4 AOE/COE investigation | Investigation report | investigation | CORR | 12 | — | act: attorney reviews it |
| M2.5 Employment & wage records | Records obtained | records-obtained | MEDREC | 13 | personnel file / job description / wage statement / incident report / police report / adjuster's claim notes / resignation letter / severance agreement | — |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M3.1 PR-2 & treating reports | Doctor's First Report of Occupational Injury or Illness (DFR) | dfr | DFR | 5 | DFR form 5021 / initial narrative report | act: attorney reads determinations |
| M3.1 | Primary Treating Physician's Progress Report (PR-2) | pr2 | PR2 | 5 | PR-2 / work status report | clock: 20 days — objection |
| M3.2 Requests for authorization | Request for Authorization (RFA) | rfa | RFA | 5 | — | — |
| M3.3 Medical records & diagnostics | Treating medical record | treating-record | MEDREC | 5 | consultation / pre-operative / operative / anesthesia / therapy notes (PT, chiropractic, acupuncture) / shockwave therapy (ESWT) / nurse case manager / pharmacy / referral to specialist / letter of medical necessity / patient demographic sheet / records set | — |
| M3.3 | Diagnostic report | diagnostic | MEDREC | 5 | MRI / X-ray / EMG and NCV / lab / sleep study | — |
| M3.4 PTP designation & MPN | Physician designation | ptp-designation | CORR | 5 | PTP designation (firm) / predesignation of personal physician | — |
| M3.4 | Carrier notice on the choice of physician | mpn-notice | CORR | 5 | MPN notice / MPN provider list / transfer of care / objection to PTP designation | act: attorney decides dispute |
| M3.5 Objections (LC 4062) & letters to the treater | Objection to treating physician's determination | treating-objection | CORR | 5 | — | clock: 20 days from receipt |
| M3.5 | Firm letter on treatment | treatment-letter | CORR | 5 | to treating physician / appointment request to treating physician / appointment letter to client / lien letter to treating provider / 4600 letter / treatment authorization request | — |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M4.1 UR determinations | UR denial or modification | ur-denial | UR-DENIAL / UR-MOD | 8 | denial / modification | clock: 30 days — IMR request |
| M4.1 | Treatment approval | ur-approval | UR-APPROVAL | 8 | UR approval / carrier authorization letter | — |
| M4.1 | Peer review report | peer-review | CORR | 8 | — | — |
| M4.2 Deferrals & delays | UR deferral | ur-deferral | UR-DEFER | 8 | — | act: no IMR clock; repeat the request once liability is final |
| M4.2 | UR delay | ur-delay | UR-DELAY | 8 | delay notice / request for additional information | clock: the date the notice promises; no IMR clock |
| M4.2 | UR withdrawal notice | ur-withdrawal | CORR | 8 | — | act: case manager checks why |
| M4.3 Internal UR appeal | Firm's UR challenge | ur-challenge | CORR | 8 | internal UR appeal / demand on untimely UR | — |
| M4.4 IMR application | Application for Independent Medical Review (IMR) | imr-application | IMR-APP | 9 | — | clock: follow up until assigned |
| M4.5 IMR assignment & RFI | IMR notice of assignment | imr-noa | IMR-NOA | 9 | — | clock: 15 days — supporting records |
| M4.5 | IMR request for information | imr-rfi | IMR-RFI | 9 | — | clock: the date on it |
| M4.6 IMR determinations | IMR determination | imr-determination | IMR-DET | 9 | final / ineligibility | act: attorney on some upholds; an uphold → 30 days from mailing to appeal (LC 4610.6(h)), the attorney's |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M5.1 QME panel & AME agreement | QME panel request | panel-request | QME | 6 | request / confirmation / replacement panel request / additional panel request | — |
| M5.1 | QME panel request rejection | panel-rejection | QME | 6 | — | act: correct and resubmit |
| M5.1 | QME panel list | panel-list | QME | 6 | — | clock: 10 days — strike |
| M5.1 | QME panel strike | panel-strike | QME | 6 | — | clock: 10 business days — schedule |
| M5.1 | AME agreement | ame-agreement | AME | 6 | — | act: attorney told — replaces panel |
| M5.2 Appointments | Appointment request to evaluator | appointment-request | QME / PQME / AME | 6 | — | clock: 90 / 120 days |
| M5.2 | Evaluator appointment notice | appointment-notice | QME / PQME / AME | 6 | PQME / AME / appointment card / diagnostic test appointment / interpreter confirmation | clock: appointment — client, interpreter |
| M5.2 | Appointment letter to client (QME or AME) | appointment-letter | CORR | 6 | — | — |
| M5.2 | Evaluator scheduling problem | scheduling-problem | QME / PQME / AME | 6 | cancellation / missed appointment / QME unavailability / QME waiver | — |
| M5.2 | Diagnostic testing for the evaluator | ml-testing | QME / PQME / AME | 6 | evaluator's order / firm's request | — |
| M5.3 Records to the evaluator | Firm's communication to the evaluator | evaluator-communication | CORR | 6 | advocacy letter / records served | clock: serve 20 days before |
| M5.3 | Opposing party's proposed records for the evaluator | their-records-to-evaluator | CORR | 6 | — | clock: 10 days to object |
| M5.3 | Objection to what goes to the evaluator | evaluator-objection | CORR | 6 | to proposed records / to proposed advocacy letter | — |
| M5.4 QME & AME reports | Med-legal report | ml-report | PQME / QME / AME | 7 | PQME / AME / PQME supplemental / AME supplemental | act: attorney — rate it |
| M5.4 | QME or AME Report Time Frame Extension Request | report-extension | PQME / QME / AME | 7 | — | clock: report due +15 days |
| M5.5 P&S reports (PR-3 / PR-4) | Treating physician P&S report | treating-ps | PR3 / PR4 | 7 | PR-3 / PR-4 | clock: 20 days — objection |
| M5.6 Supplementals & objections | Attorney review of med-legal report | report-review | CORR | 7 | — | — |
| M5.6 | Objection or supplemental request on a med-legal report | ml-objection | CORR | 7 | objection / supplemental request | — |
| M5.7 PD ratings (DEU) | PD rating | rating | CORR | 7 | attorney rating / DEU rating | — |
| M5.7 | Request for consultative rating | rating-request | CORR | 7 | — | — |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M6.1 Application & answer | Application for Adjudication of Claim | application | APP-ADJ | 2 | original / amended / death claim | — |
| M6.1 | Application for Subsequent Injuries Fund Benefits (SIBTF) | sibtf-application | SIBTF | 2 | — | clock: own statute — attorney sets |
| M6.1 | Answer | answer | ANSWER | 2 | to the application / to a petition / to a 132a petition / to a serious and willful petition | — |
| M6.1 | Answer to petition for reconsideration or removal | answer-recon | ANSWER | 2 | reconsideration / removal | clock: own period, 10 pages |
| M6.1 | Notice of Application | notice-of-application | CORR | 2 | — | — |
| M6.1 | Notice of election against party defendant | notice-of-election | CORR | 2 | — | — |
| M6.2 Petitions | Petition for reconsideration or removal | petition-recon | PET | 2 | reconsideration / removal | clock: 20 days from service |
| M6.2 | Petition to reopen | petition-reopen | PET | 2 | new and further disability / other good cause | clock: five years — new disability |
| M6.2 | Petition for increased compensation | petition-increased-comp | PET | 2 | 132a discrimination / serious and willful misconduct | clock: serious and willful — 12 months from the injury (LC 5407); 132a — attorney sets |
| M6.2 | Petition to Terminate Liability for Temporary Disability Indemnity | petition-terminate-td | PET | 2 | — | act: object within days — TD stops |
| M6.2 | Petition | petition | PET | 2 | penalties (LC 5814) / sanctions (LC 5813) / attorney's fees / 5710 deposition fees / 5811 costs / appealing IMR determination / additional QME panel / replacement QME panel / disqualify panel QME / compel deposition / compel discovery responses / compel medical examination / change of venue / joinder / contribution / commutation / reassignment (peremptory challenge) / order relieving counsel / pre-application discovery / correct clerical error (nunc pro tunc) / dismiss inactive case / dismiss party / medical information (non-physician lien claimant) | — |
| M6.2 | Declaration filed with a pleading | pleading-declaration | CORR | 2 | §4906(g) compliance / §4906(h) compliance / verification of petition | — |
| M6.2 | Request for dismissal of claim (without prejudice) | dismissal-request | PET | 2 | — | — |
| M6.3 Orders, findings & award | Order | order | ORDER | 2 | Findings and Order / compelling deposition / compelling medical examination / granting change of venue / denying change of venue / joinder / consolidation / dismissing party / dismissing lien / on 5710 fees / on 5811 costs / quashing subpoena / taking off calendar (OTOC) / to show cause / vacating submission / stipulation and order | clock: 20 days — recon or removal |
| M6.3 | Findings and Award | findings-award | ORDER | 2 | — | clock: 20 days and payment check |
| M6.3 | Opinion on reconsideration or removal | recon-opinion | ORDER | 2 | decision after reconsideration / granting reconsideration / denying reconsideration / denying removal | clock: writ — attorney sets |
| M6.3 | Report and Recommendation on Petition for Reconsideration (R&R) | report-recommendation | ORDER | 2 | — | clock: Board's 60 days run |
| M6.3 | Order Suspending Action (OSA) | osa | ORDER | 2 | — | act: answer it or hearing |
| M6.3 | Response to Order Suspending Action | osa-response | CORR | 2 | — | — |
| M6.3 | Notice of Intention | notice-of-intention | ORDER | 2 | dismiss case / dismiss lien / divide attorney fees / grant petition / impose sanctions / order additional QME panel | act: object by its date |
| M6.4 Filings & letters to the WCJ | EAMS filing rejection notice | eams-rejection | CORR | 2 | — | act: correct and refile |
| M6.4 | Letter to the WCAB | letter-to-judge | CORR | 2 | — | — |
| M6.5 DOR & objections | Declaration of Readiness to Proceed (DOR) | dor | DOR | 3 | regular / expedited | — |
| M6.5 | Objection to DOR | dor-objection | DOR | 3 | — | clock: 10 days from service (8 CCR 10744) — D2 |
| M6.6 Notices of hearing | Notice of Hearing (MSC) | noh-msc | NOH | 3 | — | clock: discovery closes at the MSC |
| M6.6 | Notice of Hearing | noh | NOH | 3 | trial / expedited / priority conference / status conference / rescheduled / cancelled | clock: hearing date (case team); prep only if the firm's rule asks |
| M6.6 | Hearing request | hearing-request | MSC | 3 | continuance / taking off calendar / remote appearance / withdrawal of DOR | — |
| M6.7 Minutes & pre-trial statements | Minutes of Hearing | minutes | MOH | 3 | issued / proposed | — |
| M6.7 | Pre-Trial Conference Statement (PTCS) | ptcs | PTCS | 3 | — | — |
| M6.7 | Trial filing | trial-filing | CORR | 3 | trial brief / post-trial brief / exhibit list / notice of intent to call a witness | — |
| M6.8 Proofs of service | Proof of service | pos | POS | 3 | — | — |
| M6.9 Depositions | Deposition notice | depo-notice | DEPO-NOTICE | 12 | applicant / evaluator / cancellation | clock: the deposition date |
| M6.9 | Deposition record | depo-record | DEPO-TX | 12 | transcript / errata sheet / certificate of non-appearance | — |
| M6.9 | Notice to appear and produce documents | notice-to-appear | CORR | 12 | — | clock: date to appear and produce |
| M6.9 | 5710 fee demand | 5710-demand | CORR | 12 | — | — |
| M6.10 Written discovery | Written discovery request | discovery-request | CORR | 12 | interrogatories / request for production / requests for admission | clock: response date on it |
| M6.10 | Written discovery response | discovery-response | CORR | 12 | interrogatories / production / admission / objection | — |
| M6.11 Subpoenas (SDT) | Subpoena | subpoena | SDT / SUBPOENA | 13 | duces tecum (records) / to appear | clock: production date on it |
| M6.11 | Notice to Consumer or Employee | consumer-notice | SDT | 13 | — | act: attorney — object before production |
| M6.11 | Subpoena challenge | subpoena-challenge | CORR | 13 | objection / motion to quash / opposition to motion to quash | — |
| M6.12 Records requests & SDT returns | Records request | records-request | CORR | 13 | firm's request / copy service order | — |
| M6.12 | Records authorization | records-auth | AUTH | 13 | — | act: client signs or attorney refuses |
| M6.12 | Subpoena return | sdt-return | MEDREC | 13 | records returned (SDT return) / certificate of no records | — |
| M6.13 Civil & other agencies | Special Notice of Lawsuit | special-notice-lawsuit | CORR | 2 | — | — |
| M6.13 | Third-party civil action paper new | civil-action | CORR | 2 | complaint / notice of lien in the civil action / third-party settlement | — |
| M6.13 | Other agency notice new | agency-notice | CORR | 2 | Labor Commissioner / Civil Rights Department / EEOC / Cal/OSHA | — |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M7.1 C&R & stipulations | Compromise and Release | cr | CR | 14 | sent for signature / dependency claim / third party / addendum | — |
| M7.1 | Compromise and Release (signed) | cr-signed | CR | 14 | — | clock: 30-day check after filing |
| M7.1 | Stipulations with Request for Award (Stips) | stips | STIP | 14 | standard / death | clock: 30-day check after filing |
| M7.1 | Proposed order or award | proposed-order | OACR | 14 | — | — |
| M7.2 OACR & award | Award or order approving settlement | settlement-approval | ORDER | 14 | award on stipulations / order approving C&R (OACR) | clock: 20 days and payment check |
| M7.2 | Order Disapproving Compromise and Release | cr-disapproval | ORDER | 14 | — | act: renegotiate or go to hearing |
| M7.3 Negotiation & walk-through | Settlement letter | settlement-letter | CORR | 14 | settlement demand / adequacy letter | — |
| M7.3 | Walk-through request | walk-through | CORR | 14 | — | — |
| M7.4 MSA & releases | Medicare paper | medicare | CORR | 14 | conditional payment letter / consent to release / Medicare set-aside (MSA) | — |
| M7.4 | General release (civil) | general-release | CORR | 14 | — | act: attorney checks WC not released |
| M7.5 Liens (LC 4903) | Lien claim | lien | LIEN | 15 | Notice and Request for Allowance of Lien / supplemental lien form and 4903.05(c) declaration / lien claimant verification | clock: 18 months from services |
| M7.6 Lien conferences | Notice of lien hearing | lien-hearing | NOH | 15 | lien conference / lien trial | clock: appear or lien dismissed |
| M7.7 Lien claimant correspondence | Lien claimant notice or letter | lien-letter | CORR | 15 | letter / lien demand / notice of representation / association of counsel | — |
| M7.8 Lien resolutions | Lien resolution | lien-resolution | LIEN | 15 | settlement agreement / stipulation and order to pay / withdrawal | — |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M8.1 TD & PD notices | Benefit notice | benefit-notice | BENEFITS | 10 | TD / PD / PD advance / mileage rate / wage loss worksheet / SJDB voucher / vocational rehabilitation report | — |
| M8.1 | Carrier notice cutting benefits | benefit-cut | BENEFITS | 10 | intent to close claim / TD overpayment | act: dispute before it takes effect |
| M8.2 SJDB & return to work | Notice of offer of work | work-offer | BENEFITS | 10 | regular / modified or alternative | clock: PD ±15% / voucher — attorney |
| M8.2 | Physician's Return-to-Work and Voucher Report (DWC-AD 10133.36) | rtw-voucher-report | CORR | 10 | — | clock: starts employer's 60 days |
| M8.3 Benefit demands & wage requests | Benefit demand | benefit-demand | CORR | 10 | TD benefits / PD advance | — |
| M8.3 | Wage statement request | wage-request | CORR | 10 | — | act: supply the wages |
| M8.4 Offsets (EDD-SDI, SSDI, LTD) | EDD State Disability Insurance (SDI) notice new | sdi-notice | CORR | 10 | claim / payment / notice of lien | — |
| M8.4 | Social Security disability notice new | ssdi-notice | CORR | 10 | SSDI / SSI | — |
| M8.4 | Long-term disability (LTD) notice new | ltd-notice | CORR | 10 | — | — |
| M8.4 | Unemployment insurance notice new | ui-notice | CORR | 10 | — | — |
| M8.5 Indemnity payments & mileage | Payment | payment | BENEFITS | 11 | benefit check / mileage payment / penalty payment / settlement check / benefit printout / settlement disbursement receipt | clock: first TD payment 14 days after knowledge; late → +10% (LC 4650) |
| M8.5 | Expense reimbursement | reimbursement | CORR | 11 | mileage request (firm) / out-of-pocket receipt | — |
| M8.6 Bills & bill review | Bill or invoice | bill | CORR | 11 | med-legal bill / copy service / court reporter / statement of account | — |
| M8.6 | Bill review | bill-review | CORR | 11 | explanation of benefits (EOB) / objection to bill / second bill review (SBR) request / independent bill review (IBR) request | — |
| M8.7 Tax & withholding | Income withholding order | withholding-order | CORR | 11 | — | act: withhold before disbursing |
| M8.7 | W-9 | w9 | CORR | 11 | — | — |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| M9.1 Received | Letter from | letter-in | CORR | 4 | claims adjuster / defense attorney / client / DWC / employer (accommodation) / employer (medical leave) / service of medical reports | — |
| M9.1 | Letter from third-party administrator (TPA) | tpa-letter | CORR | 4 | — | act: attorney — disclosure request |
| M9.2 Sent | Letter to | letter-out | CORR | 4 | claims adjuster / defense attorney / client / EDD / notice of representation / meet and confer / cease and desist / closing letter to client / request for client file from prior attorney | — |
| M9.2 | Request for disclosure of the liable entity | disclosure-request | CORR | 4 | — | clock: answer before serving |
| M9.3 Substitutions & adjuster changes | Change of counsel or adjuster | counsel-change | CORR | 4 | acknowledgment of representation / substitution of attorneys / dismissal of attorney / new claims adjuster | — |
| Place | Document | Short name | TYPE | Std tab | Variants | Clip or act |
|---|---|---|---|---|---|---|
| F.1 Made by the firm | Produced case report | case-report | CORR | firm records | case summary / chronology | — |
| F.1 | EAMS filing sheet | eams-sheet | CORR | firm records | Document Cover Sheet / Document Separator Sheet | — |
| F.2 Notes & saved items | Internal note | internal-note | FIRM-RECORD | firm records | attorney memo / case note / initial file review | — |
| F.2 | Email saved to the case | email | CORR | firm records | — | — |
| F.2 | Calendar invitation | calendar-invite | FIRM-RECORD | firm records | — | — |
| F.2 | Search result | search-result | FIRM-RECORD | firm records | EAMS case search / insurance coverage (WCIRB) | — |
| F.3 Transmission & system records | Transmission record | transmission-record | FIRM-RECORD | firm records | e-service / EAMS e-filing confirmation / fax confirmation | — |
| F.3 | Combined PDF packet (case system) | pdf-packet | FIRM-RECORD | firm records | — | — |
| F.3 | File retention and destruction record | retention-record | FIRM-RECORD | firm records | — | — |
The firm's own blank forms and administration, never filed to a case: case-system administration (agreements, merge-field guides, test templates); blank civil complaint and answer forms; Labor Commissioner forms; letterhead, envelopes, labels and fax cover sheets; personal property receipts; probate forms; prospective-client letters; blank Social Security disability forms. The same paper received on a client's case is a document of that case (M6.13 Civil & other agencies; M8.4 Offsets).
Every clock, rule and EAMS title in this standard was checked against the primary text on 28 August 2026, and every one added or changed in edition 2.0 on 6 October 2026, as section 20 records; en banc rules are cited to the Appeals Board decisions that state them. Every name, doctor and party in the examples is fictional. Section numbers are cited for verification by counsel and are not legal advice.