The following forms and charts can be printed for your use and convenience. Click on the link to locate the document.

The SJDB Voucher Flow Chart displays the sequence for determining an injured worker’s eligibility for a voucher, when the document is due an eligible applicant, and the documentation required for the process.

The SJDB Brochure explains the eligibility criteria for the SJDB voucher to injured workers and their options for making use of the benefit.

The List of State Authorizing Agencies provides addresses and telephone numbers for agencies in each state responsible for certifying vocational training programs. For out of state programs, contact the local state agency to determine if the training facility desired by the injured worker meets the requirements of L.C. § 4658.5(a).

The SJDB Audit Penalties chart shows the administrative penalties that the DWC Audit Unit can impose where it determines the claims administrator has failed to comply with statutory and/or regulatory requirements.

The FEHA Interactive Process Flow Chart displays the Interactive Process required by California’s Fair Employment and Housing Act. The Americans with Disabilities Act requires an essentially identical process.

The Sample Interactive Process Letter to Employee can be used by the employer to schedule and document an interactive meeting with the disabled employee.

The Interactive Process Chart provides details on the process agencies such as California’s Dept. of Fair Employment and Housing and the federal EEOCexpect employers to follow in attempting to accommodate disabled employees.