Section 4062.4.
Cal. Labor Code - LAB § 4062.4.
in effect(a)
(1)
The administrative director shall develop and make available a template qualified medical evaluator (QME) report form, which shall include all necessary statutory and regulatory requirements for a QME report.
(2)
Use of a template QME report form developed pursuant to paragraph (1) does not constitute prima facie evidence that a report is complete, accurate, or compliant with applicable statutory
or regulatory requirements.
(b)
(1)
The administrative director shall develop and make available a medical evaluation request form for communicating with a panel qualified medical evaluator pursuant to Section 4062.3 in advance of an evaluation obtained pursuant to Section 4062.1 or 4062.2.
(2)
This subdivision does not limit a party’s right to submit relevant information to a qualified medical evaluator pursuant to Section 4062.3.
(c)
The Division of Workers’ Compensation, acting in accordance with the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), shall adopt regulations to implement this chapter with an effective date of no later than January 1, 2027.
References
referencesCal. Government Code - GOV § 11340.
referencesCal. Labor Code - LAB § 4062.3.
referencesCal. Labor Code - LAB § 4062.1.
Source: CA Legislative Counsel Bulk DataURL: https://downloads.leginfo.legislature.ca.gov/pubinfo_2025.zipFetched: 6/27/2026
