California DWC Asks Attorneys, Hearing Representatives, Claims Administrators To Use New Forms


Use of new uniform assigned names will also assist district offices in scanning process

Oakland, CA  (CompNewsNetwork) - The California Division of Workers' Compensation (DWC) is requesting that all parties filing forms at district offices begin using new optical character recognition (OCR) forms as soon as possible to help facilitate scanning documents into the Electronic Adjudication Management System (EAMS). Additionally, all parties filing forms into EAMS—be they an injured worker, a claims administrator, an attorney, a lien claimant or other—need to use the uniform assigned name to identify the claims administrator or representative on all forms in the case for which they are filing.

“EAMS is up and running,” said Court Administrator Keven Star. “And it works best with the forms designed to populate electronic case files. Many of our external users are already voluntarily using new OCR forms. The more folks we get on board with the new system, the better off we'll all be.”

OCR forms are posted on the DWC Web site at Since the forms are not yet finalized, users are being asked to be sure they are using the most current version and to not save the blank forms onto their personal computers until they are final.

The other vital piece of the new system needed to ease the process of scanning documents into EAMS is the use of uniform assigned names. Forms filed in EAMS automatically create new workers' compensation case files or open existing case files. Part of this automated process involves associating the related parties to their cases. To ensure that parties are properly associated to cases in EAMS, the DWC created a uniform naming convention for claims administrator and representative offices. Claims administrators are insurance carriers who self-administer claims, third party administrators, and self-insured, self-administered employers. Representatives are attorney and non-attorney representatives.

Uniform names for claims administrators' offices and representatives' offices are assigned by the DWC.

All external parties filing forms in EAMS need to use the uniform assigned name to identify the claims administrator or representative in the case for which they are filing. The other types of case participants do not currently have uniform assigned names.

An example of how the uniform assigned name should be used:

An attorney filing an application for adjudication of claim on behalf of an injured worker will use the assigned name of the claims administrator in the area designated for “claims administrator information” on page two of the application
In the area for “insurance carrier information” just above this, the attorney will fill in the name of the insurance carrier they would have used prior to the introduction of these new forms since there is no category for “insurance carrier” in the assigned names database (only claims administrators and representatives)
On page five of the application, the attorney will use the assigned name for his or her firm on the line for “law firm or company name” under “is the applicant represented?”
Filers should note that they not only have to use their own assigned name if they are a claims administrator or a representative, but the assigned names of any other claims administrators or representatives they are naming in the form.

If an attorney or claims administrator doesn't know its firm's assigned name or the assigned name of a claims administrator or representative they are listing on a form, they should look it up in the DWC's uniform assigned names database. If the claims administrator or representative's office is not in the database, they should register now by sending a letter on letterhead, with an authorized signature, to DWC's new Central Registration Unit: by e-mail to or by fax to (888) 822-9309. At this time, the Central Registration Unit is only registering claims administrators' offices and representatives' offices, so uniform names are not required for other types of case participants.

“It will take a cooperative effort to get everyone registered, so if you don't see your name or the name of a firm you regularly work with in the database, communicate with them to make sure they're registered,” said Star. “The more claims administrator and representative offices that are registered, and the more forms filers know and properly enter those names on forms, the smoother it will be for all of us, because names entered incorrectly in the claims administrator or representative fields on forms have to be manually corrected by our district office staff.”

Any parties running up against statutory deadlines should file their documents with the best information they have available.

Questions regarding the uniform names, the use of the uniform names database, or the new central registration process may be e-mailed to or asked by calling (888) 771-3267 (888-771-EAMS), and selecting option 4. Additionally, parties with specific questions about a case filing may call the EAMS Help Desk.

Parties with general questions about EAMS, the forms, the regulations or other questions should send them to

It would also assist DWC if external users developed a system of escalating only questions to the EAMS Help Desk that can't be answered by reviewing the answers to frequently asked questions and other information on the Web site. Some external users have designated their own EAMS training coordinator to answer questions and have developed internal procedures for escalating only questions that can't be answered internally. DWC suggests this process as an option for external users to escalate questions:

E-mail your questions to your office's EAMS training coordinator or internal EAMS expert for review

Provide specific information about error messages, problems filing forms or finding a name in the assigned names database in your e-mail

Include the name of the case, the case number and a detailed description of the problem when reporting issues

Have the office EAMS training coordinator review and answer your questions
If your training coordinator cannot answer the question, he or she will e-mail the DWC:
General questions, including general questions about OCR forms:
Specific questions about a case filing:
Share the questions and answers with all offices for the firm or organization.
DWC will be conducting additional “train the trainers” sessions for external users in September. A separate announcement about the training dates and locations will be issued by Tuesday, Sept. 2, 2008.

More EAMS information is on the Web at

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