Cal. Code Regs. tit. 8, § 10133.53
![Image 1 within § 10133.53. Form [DWC-AD 10133.53 “Notice of Offer of Modified or Alternative Work for Injuries Occurring Between 1/1/04 - 12/31/12, Inclusive.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/I8dd67be003e611efa6b6c6125f046534.jpg?maxHeight=852&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=d79ccbea-edab-4c15-b916-e7b3cddcc105&ppcid=e1fa25b9d0ef42cc935ff10aae0358fb&contextData=(sc.Default))
![Image 2 within § 10133.53. Form [DWC-AD 10133.53 “Notice of Offer of Modified or Alternative Work for Injuries Occurring Between 1/1/04 - 12/31/12, Inclusive.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/I7558d76003e711efa7e8bca8373f6ec3.jpg?maxHeight=862&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=d79ccbea-edab-4c15-b916-e7b3cddcc105&ppcid=e1fa25b9d0ef42cc935ff10aae0358fb&contextData=(sc.Default))
![Image 3 within § 10133.53. Form [DWC-AD 10133.53 “Notice of Offer of Modified or Alternative Work for Injuries Occurring Between 1/1/04 - 12/31/12, Inclusive.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/Idcc9dc0003e711efa7e8bca8373f6ec3.jpg?maxHeight=862&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=d79ccbea-edab-4c15-b916-e7b3cddcc105&ppcid=e1fa25b9d0ef42cc935ff10aae0358fb&contextData=(sc.Default))
![Image 4 within § 10133.53. Form [DWC-AD 10133.53 “Notice of Offer of Modified or Alternative Work for Injuries Occurring Between 1/1/04 - 12/31/12, Inclusive.”]](https://govt.westlaw.com/calregs/Link/Document/Blob/I56233a6003e811efa6b6c6125f046534.jpg?maxHeight=862&targetType=path&originationContext=document&vr=3.0&rs=cblt1.0&transitionType=DocumentImage&uniqueId=d79ccbea-edab-4c15-b916-e7b3cddcc105&ppcid=e1fa25b9d0ef42cc935ff10aae0358fb&contextData=(sc.Default))
Note: Authority cited: Sections 133, 4658 and 5307.3, Labor Code. Reference: Sections 4658, 4658.1, 4658.5 and 4658.6, Labor Code.
1. New section filed 6-6-2005; operative 8-1-2005 (Register 2005, No. 23).
2. Amendment filed 7-19-2006; operative 8-18-2006 (Register 2006, No. 29). For prior history, see Register 96, No. 52.
3. Repealer and new form filed 11-17-2008; operative 11-17-2008 pursuant to Government Code section 11343.4 (Register 2008, No. 47).
4. Amendment of section heading and form 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.
5. Amendment of section heading and form 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.
6. Certificate of Compliance as to 7-1-2013 order, including amendment of section heading and form, transmitted to OAL 9-27-2013 and filed 11-8-2013; amendments operative 1-1-2014 (Register 2013, No. 45).