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QME-106 Forms & Documents
Updated March 2026

QME Form 106 (QME-106)

Legal basis: 8 CCR §31.3

Definition

The QME Appointment Notification Form used by a QME physician to inform the parties and the DWC Medical Unit of the scheduled evaluation date, time, and location. This form must be served within specific timeframes after the physician receives the panel assignment.

Key Facts About QME-106 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 106 (QME-106)?

The QME Appointment Notification Form used by a QME physician to inform the parties and the DWC Medical Unit of the scheduled evaluation date, time, and location. This form must be served within specific timeframes after the physician receives the panel assignment.

What is the legal basis for QME-106 in California workers' compensation?

QME Form 106 is governed by 8 CCR §31.3 under California workers' compensation law. This statute defines the requirements, procedures, and standards for qme form 106 in the workers' compensation system as of 2026.

Where can I find the QME Form 106 form?

The QME Form 106 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.