QME Form 105 (QME-105)
Legal basis: 8 CCR §31.1
Definition
The Request for QME Panel form filed by a party or unrepresented injured worker to obtain a panel of three QME physicians from the DWC Medical Unit. The form specifies the medical specialty needed and the geographic area for the evaluation.
Key Facts About QME-105 in 2026
QME Physicians in CA
~2,500
Evaluation Fee Range
$2,500-$4,000
Report Deadline
30 days
Avg AI-Assisted Turnaround
14 days
Related Terms
Frequently Asked Questions
What is a QME Form 105 (QME-105)?
The Request for QME Panel form filed by a party or unrepresented injured worker to obtain a panel of three QME physicians from the DWC Medical Unit. The form specifies the medical specialty needed and the geographic area for the evaluation.
What is the legal basis for QME-105 in California workers' compensation?
QME Form 105 is governed by 8 CCR §31.1 under California workers' compensation law. This statute defines the requirements, procedures, and standards for qme form 105 in the workers' compensation system as of 2026.
Where can I find the QME Form 105 form?
The QME Form 105 form is available through the California Division of Workers' Compensation (DWC) website. IMEPro can help physicians complete and manage these forms efficiently with AI-assisted documentation tools.