Cal. Code Regs. tit. 8, § 10133.35
This form may be produced without a logo and may be produced on the claim's administrator's letterhead.
![Image 1 within § 10133.35. Form [DWC-AD 10133.35 “Notice of Offer of Regular, Modified, or Alternative Work For injuries Occurring on or After 1/1/13.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/Id16d2ce003e211efa7e8bca8373f6ec3.jpg?maxHeight=843&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=692c2dc2-30f5-4de1-be43-525e67d70c02&ppcid=f469e3a0c6ba4315a54e367d7bd9ed2d&contextData=(sc.Default))
![Image 2 within § 10133.35. Form [DWC-AD 10133.35 “Notice of Offer of Regular, Modified, or Alternative Work For injuries Occurring on or After 1/1/13.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/Ib0e609a003e311efa6b6c6125f046534.jpg?maxHeight=862&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=692c2dc2-30f5-4de1-be43-525e67d70c02&ppcid=f469e3a0c6ba4315a54e367d7bd9ed2d&contextData=(sc.Default))
![Image 3 within § 10133.35. Form [DWC-AD 10133.35 “Notice of Offer of Regular, Modified, or Alternative Work For injuries Occurring on or After 1/1/13.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/I09b1837003e411efa7e8bca8373f6ec3.jpg?maxHeight=862&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=692c2dc2-30f5-4de1-be43-525e67d70c02&ppcid=f469e3a0c6ba4315a54e367d7bd9ed2d&contextData=(sc.Default))
![Image 4 within § 10133.35. Form [DWC-AD 10133.35 “Notice of Offer of Regular, Modified, or Alternative Work For injuries Occurring on or After 1/1/13.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/Ie77695b003e411efa7e8bca8373f6ec3.jpg?maxHeight=862&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=692c2dc2-30f5-4de1-be43-525e67d70c02&ppcid=f469e3a0c6ba4315a54e367d7bd9ed2d&contextData=(sc.Default))
Note: Authority cited: Sections 133, 4658.7 and 5307.3, Labor Code. Reference: Sections 4658 and 4658.7, Labor Code.
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 A Certificate of Compliance must be transmitted to OAL by 7-1-2013 or emergency language will be repealed by operation of law on the following day.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).