Lawyers, Answer Questions  & Get Points Log In
Questions Answered by Nancy J. Wallace
2 Answers | Asked in Workers' Compensation for California on
Q: Do I HAVE to release my medical records for my worker's comp claim?

I strained my lumbar region at work just short of a month ago and I have gone the course of alerting my employer of the strain, going to treatment, and was pending response about lost wages until this week. I received a check for lost time so far, but also received a packet containing paperwork for... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on Sep 28, 2020

You do not have to release the records, BUT the insurer can decide to deny the claim for failure to participate fully in discovery. It shouldn't be permitted but it is. When you ask Workers Comp insurance to pay benefits for treatment and disability, the insurer is entitled to see if you... Read more »

View More Answers

3 Answers | Asked in Workers' Compensation for California on
Q: my workers comp attorney is not doing there job and is letting the other party stall and/or put things off

its been going on for sometime and i was promised x amount of money and so far i cant even get my out of pocket expenses paid back

Nancy J. Wallace
Nancy J. Wallace answered on Sep 17, 2020

Sadly, the regulations and the California Labor Code let a party delay to obtain all medical and employment records, and get a replacement list of doctors (the QME panel), and the pandemic rules let doctors set appointments out as long as 90 days from the date you call. Your elected officials give... Read more »

View More Answers

2 Answers | Asked in Workers' Compensation for California on
Q: If a person has an open worker’s comp claim can your company let you go for good without completing the claim?

Person works for the airline industry and is being let go as part of airline cutbacks.

Nancy J. Wallace
Nancy J. Wallace answered on Sep 14, 2020

Yes, sadly, having an ongoing workers comp claim is no guarantee that you won't be laid off. That said, if the person with the open claim is the ONLY ONE laid off, that is likely a violation of Labor Code 132a. But you have to prove the true reason you were let go was the employer... Read more »

View More Answers

3 Answers | Asked in Workers' Compensation for California on
Q: I sustained a work injury and I went to the doctor he sent me back with restrictions job can't accommodate i was put on

Oc leave i don't know what that is or if i will be paid

Nancy J. Wallace
Nancy J. Wallace answered on Sep 10, 2020

Your employer looks at the doctor's words on the Modified Duty Order. Then the employer decides if there is work there that matches those words or if you need to be sent home. IF YOU ARE SENT HOME try to get something in writing from the employer to show to the Insurance Adjuster. The... Read more »

View More Answers

1 Answer | Asked in Workers' Compensation for California on
Q: I won my case after 4 1/2 years I was awarded back money and expect the remainder by check twice a month.

how can i get a breakdown from adjustor WC on the remains of my award? My attorney is not responding to my questions, I cannot contact the WC advisor as I have an attorney? can you help?

Nancy J. Wallace
Nancy J. Wallace answered on Aug 21, 2020

Sorry, from just this, nobody can know.

Did a WCAB judge make a Finding and Order that you were Temporarily Totally Disabled with a start and stop date?? If not, no Temporary Disability payments are due.

Did a WCAB Judge make a Finding and Order that you have a certain percentage...
Read more »

1 Answer | Asked in Immigration Law and Workers' Compensation for California on
Q: Immigration and workers comp

My mother who is an immigrant and an employee of a company where she works as a farm worker in California, was recently put on workers comp due to her having nausea and dizziness that made it unsafe for her to work. after getting the OK from her doctor to go back to work, she went to the main... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on Aug 12, 2020

Labor Code 132(a) makes it a misdemeanor crime for the employer to demote or terminate an injured worker just because they requested workers comp benefits. The trouble here is the employer can defend by claiming it really had nothing available for Mom with her skill set. CAN MOM PROVE that this... Read more »

1 Answer | Asked in Workers' Compensation for California on
Q: I was at a hotel for company business, I used the spa/pool. When leaving the spa to use the pool I slipped and fell

Face forward down the steps. My employer stated this was not a workers comp case since being at the hotel “ was like being at home and I was involved in a leisurely activity”.

Nancy J. Wallace
Nancy J. Wallace answered on Jul 31, 2020

Your employer is just WRONG. SKIP contact with this cheap boss and put everything IN WRITING to the Workers Comp Insurance Company listed on the poster in the 'conspicuous' location at the workplace (required by law). Here's the case where a guy dove in the shallow end of the pool... Read more »

3 Answers | Asked in Workers' Compensation for California on
Q: A workman's comp doctor just MMI me based on an 18 percentage with stipulations of no bending lifting more than 10 lbs

Or for more than 20 minutes per hour or sitting more than 20 so my question is I was told I was no longer able to do my job that I've been doing for 30 years and disability dropped temporary disability and gave me permanent disability based on 18%. My question is so if I'm not able to go... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on Jul 24, 2020

1. APPLY FOR UNEMPLOYMENT INSURANCE IMMEDIATELY. You were Unemployed the day after the QME found you were at Maximum Medical Improvement. When the QME wrote permanent work restrictions the employer cannot accommodate, you became Unemployed. You need to set up an account at www.edd.ca.gov .... Read more »

View More Answers

2 Answers | Asked in Workers' Compensation for California on
Q: My wc claim was denied at day 92. Decision date was set for 8th and the response letter was dated 10th.

What are my odds of having that denial deemed invalid? Carpal tunnel claim and anxiety.

Nancy J. Wallace
Nancy J. Wallace answered on Jul 21, 2020

To prove the defendant went passed the 90 days, you have to have PERFECT proof the employer had the written claim form on a certain date. Your testimony you gave it to someone on a date won't work, because the other guy will just claim you gave it 2 days later and the judge won't know... Read more »

View More Answers

3 Answers | Asked in Workers' Compensation and Employment Law for California on
Q: I won my workers comp case after 2 yrs. & need to pursue the 132a that was filed. My lawyer doesn't handle 132a.

I'm having a tough time finding a lawyer to take my case. My employer pretextually discriminated against me & fired me for filing workers comp. I have a strong case. Any help would be much appreciated.

Nancy J. Wallace
Nancy J. Wallace answered on Jul 20, 2020

Sadly, you may have to proceed unrepresented. [You may even have a legal malpractice claim.] The Petition for 132a increases must be filed and served WITHIN ONE YEAR of the discriminatory action. So if you file the petition within one year of that termination and you didn't serve the... Read more »

View More Answers

1 Answer | Asked in Workers' Compensation for California on
Q: What information do I have a right to request during a workers comp investigation and how long do they have to comply?

My supervisor was interviewed in the course of my workers comp claim investigation, do I have a right to request a summary or the recorded audio of that interview and if so, how long does my employer or the insurance company have to comply with my request for that interview? What other information... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on Jun 22, 2020

You don't have the right to the "work product" of the defense investigator/attorney UNLESS it is submitted to the reporting doctor for review and comment. YOU can set deposition of the supervisor, but you have to pay the court reporter hundreds for the original and a certified copy... Read more »

2 Answers | Asked in Workers' Compensation for California on
Q: Workman's Comp is now working with my attorney and WC Judge to come to a settlement. This is a four year situation.

my question (my attorney is out of town and not available to answer this question... Any. the case is about to be

settled. I was just informed by an x-co worker, that the company that this accident happened. WAS SOLD ON

FRIDAY! Will this effect the settlement outcome in any way?... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on Jun 16, 2020

i strongly encourage you to reach your lawyer. The answer is "It Depends".

Is the employer self-insured, meaning the defense attorney and adjuster have to go to the company representative for approval of any settlement money??

Does this adjuster have independent...
Read more »

View More Answers

2 Answers | Asked in Workers' Compensation for California on
Q: Do I have to accept what they offer?

If work comp just sends me a settlement check with no communication at all, do I have to accept it or can I negotiate the amount? How do they figure what the points are worth? How do they put a price on the loss of use of a body part?

Nancy J. Wallace
Nancy J. Wallace answered on Jun 11, 2020

The adjuster would NEVER send 'a settlement check with no communication at all'. the Labor Code requires that within 14 days of a new payment or stopping an existing payment, the adjuster issue a notice of what the change in payment is and why. The adjuster IS REQUIRED by the Labor Code... Read more »

View More Answers

4 Answers | Asked in Employment Law, Personal Injury and Workers' Compensation for California on
Q: If I become handicapped from my job and I habe a spinal cord injury and I'm in pain everyday and can never work again.

Is there anything I can do to sue for mental distress . my Employer took advantage of me and worked me to the core because I am Mexican. It doesnt sound right to just get a 132a case. I will never be the same. They purposely broke me down.

Nancy J. Wallace
Nancy J. Wallace answered on Jun 4, 2020

You MAY add an Injury to Psyche to your Claim Form and Application. An 'Injury To Psyche' claim now must come from a sudden or extraordinary event (generally). An example is the SanBernardino Terrorist attack. You can claim a psychiatric injury but you would only get a little... Read more »

View More Answers

1 Answer | Asked in Workers' Compensation for California on
Q: witness affidavit question

I just asked a question. However... For upcoming Workman's comp trial coming soon...

my witness will not attend this trial! I had asked... upon this notarized witness statement..

Can this witness (arrived as I was pinned under a large erase board) witness did assist... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on May 15, 2020

All WCAB trials now are by telephone. Your witness MUST have access to a telephone!!! You will have to get the Judge's hearing line plus the access code and train your witness how to phone in and enter the code when the voice tells him to enter the code. OR bring your witness to your... Read more »

2 Answers | Asked in Public Benefits and Social Security for California on
Q: Applying for SSDI after receiving Unemployment assistance?

I have a progressing illness which qualifies me for SSDI.

Now I lost my job because of COVID-19.

I am planning to collect my unemployment now and then, if no luck finding a job that I can do (if any), I will apply for SSDI.

My question: Can (will) the fact of me receiving... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on May 14, 2020

EDD has Unemployment Insurance or State Disability Insurance (SDI). Self employed do not get UI. Self employed do not get SDI (it's a deduction on workers checks ). Social Security Disability ftom the Federal govt is a possibility. But it requires doctors writing you cannot work, and it... Read more »

View More Answers

1 Answer | Asked in Workers' Compensation for California on
Q: At a c/r settlement hearing they brought a totally different contract that i signed but didnt realize all of the errors

the facts of my injuries were of another person same name employeer simular injuries and hipaa problems

Nancy J. Wallace
Nancy J. Wallace answered on Feb 19, 2020

If the agreement does not match the one you said you agreed to, you must immediately petition IN WRITING to the JUDGE to immediately withdraw your consent. Telephone chats will accomplish nothing. You have to PETITION TO SET ASIDE ORDER APPROVING COMPROMISE AND RELEASE AGREEMENT based upon... Read more »

2 Answers | Asked in Workers' Compensation for California on
Q: What can I do if my job refuses to give security to us when theres a history of sexual abuse and theft on employees?

Since the end of last year, I myself have been sexually assaulted in my store and most recently, 02/16/2020 have had my phone stolen out of my pocket. Around the same time an employee had her car stolen out of the parking lot. Literally last week a homeless woman managed to sneak into the back room... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on Feb 18, 2020

When you were sexually assaulted at the store, that should have generated a police report, Get that, you will need it to pursue a workers compensation claim. I've got another girl who had a weirdo grab her from behind but because it was off camera and no co-workers witnessed it and the... Read more »

View More Answers

3 Answers | Asked in Workers' Compensation for California on
Q: can I Withdraw my signature from the settlement if it hasn’t gone through ?

I recently signed a SIp Feeling that it was a low offer but taking the deal is several months ago I was in desperate need of the money. It’s been several months and I keep getting the runaround from the insurance company. They claim information was filed wrong from the company I’ve worked with.... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on Jan 25, 2020

YES. You have to make it crystal clear in writing: have the insurer's claim number AND the WCAB case number on the letter. attach the Proof of Service by Mail to the letter showing to whom you mailed copies of the withdrawal of assent to the PROPOSED STIPULATIONS WITH REQUEST FOR AWARD.... Read more »

View More Answers

2 Answers | Asked in Workers' Compensation for California on
Q: One time consultation rendered diagnostics. IA denied sending thru UR. Does Sandhagen apply?

I don't understand how to respond to a lawyer's response to my initial question on this website .. If that is even possible. So I am adding more details in this question. The DA allowed a 1x consult to a neurologist. She put this in writing. Three lawyers down (and three years later... Read more »

Nancy J. Wallace
Nancy J. Wallace answered on Jan 21, 2020

A 'consult' means ONLY that you are face-to-face with the physician. it DOES NOT include anything else. Your question presumes that if consulting physician suggests a test, the approval of the consultation magically approves any testing suggested. IT DOES NOT. WRITE and visit and... Read more »

View More Answers

Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.

The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.

Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.