STATE OF CALIFORNIA DIVISION OF WORKERS' COMPENSATION WORKERS' COMPENSATION APPEALS BOARD STIPULATIO 2026

1. Click ‘Get Form’ to open the STATE OF CALIFORNIA DIVISION OF WORKERS' COMPENSATION WORKERS' COMPENSATION APPEALS BOARD STIPULATIO in the editor.
2. Begin by entering the 'Date of Injury' and 'Case No.' in the designated fields. Ensure that you provide accurate information as this is crucial for your case.
3. Complete the 'Venue Choice' section by selecting the appropriate county based on your situation. This is a required field, so make sure to choose wisely.
4. Fill out the 'Applicant' section with your personal details, including first name, last name, and address. Pay attention to leave blank spaces between numbers and words for clarity.
5. Proceed to enter information for each employer involved in your case. For each employer, indicate whether they are insured or self-insured and provide their respective details.
6. In the 'Injury Details' section, specify any injuries sustained along with relevant dates. Be thorough in listing all body parts affected.
7. Review all entered information for accuracy before submitting. Utilize our platform's features to save or print your completed form as needed.

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