Fowler & Ball

Call (707) 621-8533 To Discuss Your Options

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Call (707) 621-8533 

  • Home
  • About
  • Practice Areas
    • Workers’ Compensation Process
    • Workers’ Compensation Information
    • Getting Medical Treatment
      • Medical Treatment Information
  • Client Forms
  • Blog
  • Contact
  • X Close
Client Forms
  1. Home
  2.  » Client Forms

Client Forms

Medical Release

Workers’ Compensation Claim Form (DWC-1)

Unrepresented QME Form

Letter to Employment Development Department

Medical Mileage Reimbursement

Mileage Rate Chart

2010 Mileage Form

Jan – June 2011 Mileage Form

July – Dec 2011 Mileage Form

2012 Mileage Form

2013 Mileage Form

2014 Mileage Form

Information

Deposition Information

Activities of Daily Living

Practice Areas

  • Workers’ Compensation Process
  • Workers’ Compensation Information
  • Getting Medical Treatment
    • Medical Treatment Information

Free Consultation With A Lawyer

To schedule a consultation about a workers’ compensation claim, call (707) 621-8533 or contact us online using the form below.

Fowler & Ball

Office Location:

150 N. Pine Street
P.O. Box 540
Ukiah, CA 95482

Phone:
(707) 621-8533

Ukiah Law Office Map
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