The DWC-AD 10133.35 form is a mandatory document issued by employers or claims administrators to injured employees who are eligible to return to work. It outlines an offer for regular, modified, or alternative work, detailing job position, salary, work location, and physical requirements. Employees must respond within 30 days or risk losing eligibility for the Supplemental Job Displacement Benefit (SJDB). The form also includes instructions on disputing job offers and compliance with California Workers’ Compensation laws.
DWC-AD 10133.35 – Notice of Offer of Regular, Modified, or Alternative Work
File Type:
pdf
Categories:
Return to Work Program