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Earlier editions: 2020-112018-11

DIVISION 4. WORKERS' COMPENSATION AND INSURANCE 3200-6002›PART 1. SCOPE AND OPERATION 3200-4418›CHAPTER 7. Medical Examinations 4050-4068›ARTICLE 2. Determination of Medical Issues 4060-4068

§ 4062.4

California Labor Code · 2026 edition · updated 2026-10-04 · California

(a) (1) The administrative director shall develop and make available a template qualified medical evaluator (QME) report form, which shall include all necessary statutory and regulatory requirements for a QME report.

(2) Use of a template QME report form developed pursuant to paragraph (1) does not constitute prima facie evidence that a report is complete, accurate, or compliant with applicable statutory or regulatory requirements.

(b) (1) The administrative director shall develop and make available a medical evaluation request form for communicating with a panel qualified medical evaluator pursuant to Section 4062.3 in advance of an evaluation obtained pursuant to Section 4062.1 or 4062.2.

(2) This subdivision does not limit a party’s right to submit relevant information to a qualified medical evaluator pursuant to Section 4062.3.

(c) The Division of Workers’ Compensation, acting in accordance with the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), shall adopt regulations to implement this chapter with an effective date of no later than January 1, 2027.

(Added by Stats. 2025, Ch. 298, Sec. 1. (AB 1293) Effective January 1, 2026.)

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