Skip to Content

Workers’ Compensation Board

Search menu

Due to a system upgrade, virtual hearing participants will need to update their Webex software before their next hearing. You can no longer use "Webex Meet" to join hearings. Without updating, you will encounter issues attending. Instructions here: WEBEX UPDATE REQUIRED! New version of the Webex application for virtual hearings

CMS-1500 mandatory electronic submission takes effect August 1, 2025. Learn more.

Subject Number 046-1024 Updates to Board Review Forms (Form RB-89 Series)

Board Bulletins and Subject Numbers

May 3, 2018

The Board Review forms (Form RB-89 series) have been updated to accommodate appeals that arise from Paid Family Leave discrimination cases. The updated forms have a version date of 1-18. The Board will continue to accept the 9-16 versions of the forms until June 1, 2018. After that date, no prior versions will be accepted.

The update applies to the following forms:

Note: This update supersedes the update to Forms RB-89 and RB-89.1 previously announced in Subject Number 046-878 Board Adopts New Administrative Review, Full Board Review, and Applications for Board Reconsideration Regulations dated September 29, 2016, which required the adoption of updated Forms RB-89 and RB-89.1 (version date 9-16) by December 1, 2016.

Clarissa M. Rodriguez
Chair