GOLDEN STATE|CONSULTANTS

 

 

About how the voucher works and determining amounts:

 

 

How does the voucher work?

For injuries occurring between Jan. 1, 2004 and Dec. 31, 2012, you will receive the voucher on form 10133.57. When you receive the voucher, the claims administrator should have completed lines 1 - 8. You are then responsible for completing lines 9 - 19. Lines 9 - 12 must be completed when using a vocational return to work counselor (VRTWC). A list of counselors is available to you on the DWC Web site. If you do not select a counselor, you do not need to complete lines 9 - 12. The training provider you select should assist you in completing lines 13 - 19 on the voucher. You can contact the Bureau for Private Postsecondary Education (BPPVE) at  www.bppe.ca.gov to get a list of accredited private schools in your area. When you have completed the voucher, you must sign and date it before sending it back to the claims administrator. You must also attach any receipts or invoices for direct payment to you, the training provider, and/or the VRTWC. You can expect the payment to be made within 45 calendar days from the date the claims administrator receives the voucher.

 

For injuries on or after Jan 1, 2013, you will receive the voucher on form 10133.32. When you receive the voucher, the claims administrator should have completed the information on the first page. If you will be using the services of a vocational return-to-work counselor, and/or training provider or school, complete the second page and mail it along with a copy of the first page to the claims administrator. If you would like to request an advance and/or reimbursement on miscellaneous expenses up to $500, complete the third page and return it to the claims administrator. If you would like to request reimbursement for computer equipment, tuition, fees, books, and/or tools, return page four to the claims administrator along with receipts and documentation. You can expect the payment to be made within 45 calendar days from the date the claims administrator receives the voucher.

 

 

 

What is the amount of the voucher and how is the amount determined?

 For injuries occurring between Jan. 1, 2004 and Dec. 31, 2012, the amount of the voucher depends on the amount of your disability award:

• Up to $4,000 voucher for permanent partial disability of less than 15 percent

• Up to $6,000 voucher for permanent partial disability between 15 and 25 percent

• Up to $8,000 voucher for permanent partial disability between 26 and 49 percent

• Up to $10,000 voucher for permanent partial disability between 50 and 99 percent

 

 

FOR INJURIES AFTER January 1, 2013,   the voucher is a $6,000 Flat Fee Rate!