California Regulations 10166.1

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§ 10166.1 Form (Request for Consultative Rating).

DWC-AD form104 (DEU)

[Insert New Form]

Authority cited: Sections 133, 5307.3 and 5307.4, Labor Code.

Reference: Sections 123.6, 123.7, 124, 5275, 5451, 5502, 5701 and 5703.5, Labor Code.