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What should I do if the claims administrator and I

disagree on the voucher?

 

What if I disagree with the claims administrator about the SJDB voucher?
 

You can file a Request for Dispute Resolution form with the DWC. The form will be reviewed by the Administrative Director and a decision will be issued. When filling out the form, please clearly state the issues and identify supporting information for each issue and position. Please attach all pertinent documents. Send the "Request for Dispute Resolution" form to:

 

State of California
Department of Industrial Relations 
Division of Workers' Compensation
Attention: SJDB
P.O. Box 420603
San Francisco, CA 94142

 

This is not an easy procedure to follow,  as it does require some legal knowledge to know what the court or DIR is looking for.  If you have a consultant or counselor,  this person will be familiar with what the DIR is looking for and will be able to assist you more effectively.

 

 

What kind of disputes can be resolved by a Request for Dispute Resolution?

You can file for dispute resolution if you dispute your entitlement to a voucher, if you dispute the amount of the voucher, if the claims administrator has failed to pay for training, or if you object to the job offer provided by your employer.    

 

This happens more often than not,  having a consultant assist you through the process can make the issues seem less threatening. 

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