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Get and Sign Audit Referral Form Audit Referral Form 2021-2022
Confidential, the Audit Unit will not share your complaint with any party named in your complaint. If you do not request confidentiality, the Audit Unit may share your complaint with the claims administrator. Please note that your complaint and your workers’ compensation claim information cannot be disclosed to the public under the Public Records Act. If you have questions about this notice please write to Privacy@dir.ca.gov. Claims administrator / Company name Injured worker name Claims...Show details
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