February 18, 2009
Division of Workers’ Compensation provides new Qualified Medical Evaluator forms
The Division of Workers’ Compensation posted a new set of fillable forms for use by physicians who are
Qualified Medical Evaluators (QMEs) or Agreed Medical Evaluators (AMEs) and for use by the public who
need to request a QME panel. The forms, which may be filled out on line then printed for filing at the
appropriate DWC office, are available at: http://www.dir.ca.gov/dwc/forms.html
Other new QME forms and the new QME regulations became effective Feb. 17, 2009, and can be found
under the rulemaking page at: http://www.dir.ca.
gov/dwc/DWCPropRegs/qme_regulations/qme_regulations.htm