Home
Forms Library
List of approved schools that accept sjdb voucher

10133.32 - State of California - dir ca 2026

list of approved schools that accept sjdb voucher Preview on Page 1

See details

4.8 out of 5

63 votes

The document outlines the Supplemental Job Displacement Non-Transferable Voucher Form for injuries occurring on or after January 1, 2013. It provides a $6,000 voucher for injured employees in California to use for education-related retraining and skill enhancement. The voucher can cover various expenses such as tuition, fees, tools, computer equipment, and counseling services. It details the reimbursement process, eligibility criteria, and limitations on expenses that can be claimed. Additionally, it includes instructions for submitting requests for miscellaneous expenses and reimbursement.

Here's how it works

01. Edit your list of approved schools that accept sjdb voucher online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send list of approved schools that accept sjdb voucher near via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 10133.32 - State of California - dir ca with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the 10133.32 form in the editor.
Begin by filling in your personal information, including your first and last name, date of injury, and claim number in the designated fields.
If you are using a vocational return-to-work counselor, provide their details in the appropriate section, including their name and contact information.
Indicate any training provider or school you plan to attend by entering their name and address along with the estimated training cost.
Sign and date the voucher form at the bottom to confirm your application for benefits.
For miscellaneous expenses or computer equipment requests, complete the respective sections on pages 3 and 4, ensuring all required documentation is attached.

Start using our platform today to easily fill out your 10133.32 form for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

list of approved schools that accept sjdb voucher california

List of approved schools that accept SJDB voucher Http www DIR CA gov DWC SJDB vrtwclist pdf Supplemental Job Displacement voucher $5,000 Return-to-Work Supplement Program California Workers compensation return to work policy California SJDB voucher California DIR forms CA DWC