Cal. Code Regs. tit. 8, § 10133.33
Form [DWC-AD 10133.33 “Description of Employee's Job Duties Form.”]
Effective Jan 1, 2014Register 2014, No. 6Authority cited: Sections 133 and 4658.7, Labor Code. Reference: Sections 4658.6 and 4658.7, Labor Code.State of California
Prior to any medical evaluation declaring the employee permanent and stationary, the physician may be sent Form [DWC- AD 10133.33, “Description of Employee's Job Duties.”]
This form may be produced without a logo and may be produced on the claim's administrator's letterhead.
![Image 1 within § 10133.33. Form [DWC-AD 10133.33 “Description of Employee's Job Duties Form.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/Iff52b4f003e111efa6b6c6125f046534.jpg?maxHeight=813&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=5fc648a7-a57d-44b1-8894-e8d6345bba47&ppcid=d960ccda936b4cd99c71c4b9e4d26d95&contextData=(sc.Default))
![Image 2 within § 10133.33. Form [DWC-AD 10133.33 “Description of Employee's Job Duties Form.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/I5386f36003e211efa6b6c6125f046534.jpg?maxHeight=862&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=5fc648a7-a57d-44b1-8894-e8d6345bba47&ppcid=d960ccda936b4cd99c71c4b9e4d26d95&contextData=(sc.Default))
Note: Authority cited: Sections 133 and 4658.7, Labor Code. Reference: Sections 4658.6 and 4658.7, Labor Code.
History
1. New section filed 12-20-2012 as an emergency; operative 1-1-2013 pursuant to Government Code section 11346.1(d) (Register 2012, No. 51). A Certificate of Compliance must be transmitted to OAL by 7-1-2013 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 6-26-2013 as an emergency; operative 7-1-2013 pursuant to Government Code section 11346.1(d) (Register 2013, No. 26). A Certificate of Compliance must be transmitted to OAL by 9-30-2013 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 7-1-2013 order, including amendment of form, transmitted to OAL 9-27-2013 and filed 11-8-2013; amendments operative 1-1-2014 (Register 2013, No. 45).
4. Change without regulatory effect amending section filed 2-5-2014 pursuant to section 100, title 1, California Code of Regulations (Register 2014, No. 6).