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Government forms
DWC Form 9783 - Apr 2015

Government forms

DWC Form 9783 - Apr 2015

Predesignation of Personal Physicians

DWC Form 9783 4 is a workers' compensation form used by the City of Los Angeles employees.

Originally published by: lacity.org

Used 22 times

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Frequently asked questions

DWC Form 9783 4 is a workers' compensation form used by the City of Los Angeles employees. It is used for reporting workers' compensation claims and related information.
Employees of the City of Los Angeles for workers' compensation purposes.
The completed DWC Form 9783 should be submitted to the City of Los Angeles.

Used 22 times