Dwc District Office California Form Pack Page 2


Information & Assistance Unit guide 11
If you do not have the name and address of your insurance company to complete
a form, please link to
The information contained in this guide is general in nature and is not intended as a substitute for legal
advice. Changes in the law or the specific facts of your case may result in legal interpretations
different than those present here.
When sending documents to a district office, please make sure they are not folded or stapled. Send
them in a large manila envelope. Please see the EAMS OCR forms handbook for further instructions.
I&A 11
Rev. 11/14


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