Cal. Code Regs. tit. 8, § 9767.17.5
DWC Petition for Suspension or Revocation of a Medical Provider Network Form 9767.17.5 [new].
Effective Aug 27, 2014Register 2014, No. 35Authority cited: Sections 133 and 4616, Labor Code. Reference: Section 4616(b)(5), Labor Code.State of California
![Image 1 within § 9767.17.5. DWC Petition for Suspension or Revocation of a Medical Provider Network Form 9767.17.5 [new].](https://govt.westlaw.com/calregs/Link/Document/Blob/Idc1677a6399d11e48071ad00d20c6353.png?maxHeight=1219&targetType=laws&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=08618acb-478a-4380-901f-684de43e054b&ppcid=5ada437731124a13a21c5f5929f8d1e5&contextData=(sc.Default))
![Image 2 within § 9767.17.5. DWC Petition for Suspension or Revocation of a Medical Provider Network Form 9767.17.5 [new].](https://govt.westlaw.com/calregs/Link/Document/Blob/Idd4131f2399d11e4b8bdad00d20c6353.png?maxHeight=1245&targetType=laws&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=08618acb-478a-4380-901f-684de43e054b&ppcid=5ada437731124a13a21c5f5929f8d1e5&contextData=(sc.Default))
![Image 3 within § 9767.17.5. DWC Petition for Suspension or Revocation of a Medical Provider Network Form 9767.17.5 [new].](https://govt.westlaw.com/calregs/Link/Document/Blob/Idc3bba7a399d11e4be2aad00d20c6353.png?maxHeight=1221&targetType=laws&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=08618acb-478a-4380-901f-684de43e054b&ppcid=5ada437731124a13a21c5f5929f8d1e5&contextData=(sc.Default))
Note: Authority cited: Sections 133 and 4616, Labor Code. Reference: Section 4616(b)(5), Labor Code.
History
1. New section filed 8-27-2014; operative 8-27-2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 35).