Free QME Form 108 Template for QME Panel Selection | Free Download

The QME Form 108, also known as the Qualified Medical Evaluator Panel Selection Instruction Form, is an essential document used in California workers' compensation cases. It provides crystal clear instructions to injured workers and their attorneys on how to select a Qualified Medical Evaluator (QME) from a panel provided by the Division of Workers' Compensation (DWC). This form ensures that the QME selection process is conducted properly and in compliance with California’s workers’ compensation regulations.

Significance of QME Form 108

The QME Form 108 is a simple instruction form used to guide the QME selection process in California workers’ compensation cases.

Helps injured workers and claims administrators follow the correct steps
Ensures the right evaluator is selected
Prevents mistakes and unnecessary delays

Key Information Included in QME Form 108

The QME Form 108 contains vital details such as:

Selection timeline: Deadlines by which the injured worker or attorney must choose a QME.

Scheduling instructions: How to contact the selected QME and arrange an evaluation appointment.

Important procedural guidelines: Information on the next steps after selecting a QME, including rescheduling procedures and compliance requirements.

Legal references: Ensuring the process adheres to California workers' compensation laws.

Why Is This Form Important?

The QME Panel Selection Instruction Form (Form 108) is crucial for:

Guiding injured workers or their attorneys in selecting a QME to assess a work-related injury.

Ensuring compliance with the required time frame for selecting a QME from the panel.

Providing step-by-step instructions on how to contact the chosen evaluator and schedule an appointment.

Facilitating a fair and impartial medical evaluation process.

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