L AUGHLIN F ALBO L EVY & M ORESI



Similar documents
DIVISION OF WORKERS' COMPENSATION HEADQUARTERS

DIVISION OF WORKERS' COMPENSATION HEADQUARTERS

L AUGHLIN F ALBO L EVY & M ORESI

Division of Workers Compensation headquarters DIVISION WORKERS' COMPENSATION DISTRICT OFFICES

Original Group Gap Analysis Report

How to dismiss your attorney

Your Workers Compensation Benefits

WORKERS COMPENSATION APPEALS BOARD DIRECTORY

CAPHLD Laboratory Listing

Elkins Family Law Task Force

California Small Business Development Centers (SBDC) Centers by Region. Northern California SBDC

REPORT ON THE HOME OFFICE AUDIT CATHOLIC HEALTHCARE WEST WORKERS COMPENSATION TRUST SAN FRANCISCO, CALIFORNIA FISCAL PERIOD ENDED JUNE 30, 2007

Approved Regular Meeting Minutes MEMBER ATTENDANCE:

California Department of Corrections and Rehabilitation Bid No Treatment Service Areas Exhibit A-2

Northern California Cochlear Implant and Baha Implant Centers

SAN FRANCISCO BAY AREA QSEN FACULTY DEVELOPMENT INSTITUTE PARTICIPANT LIST June 9 11, 2010 Palo Alto, CA

County CIT Program Contact Person Other Information. Mitch Lemay Karen Markland

CSU Chico Joshua Whittinghill EOP Advisor Renaissance Scholars 400 West First Street Chico CA

NEW MEXICO DISTRICT ATTORNEYS DIRECTORY

SAN FRANCISCO BAY AREA HOSPITAL LEADERS AND ACADEMIC FACULTY MEETING SCHOOL PARTICIPANT LIST JUNE 5, 2012 FOSTER CITY, CA

Texas Directory. IRS TELEPHONE DIRECTORY for Practitioners

NEW MEXICO DISTRICT ATTORNEYS VICTIMS ADVOCATE DIRECTORY

2016 GENERAL. Election Date: 11/08/2016

State Disability Insurance Provisions

Citigroup Center 444 South Flower Street Los Angeles, CA 90071

U.S. BANKRUPTCY COURT FOR THE DISTRICT OF PUERTO RICO

PROBABLE CAUSE & FORMAL HEARING PANEL Board of Rules and Appeals Meeting of August 15th, SW 26 th Street, Conference Room I & J

Vela All-Stars. Underwriter Directory. Your Guide to a Stellar Team

WITNESS LIST. Peebles, Rex (Texas Higher Education Coordinating Board), Austin, TX

Candidate List - Detail PRIMARY ELECTION

BOARD OF DIRECTORS REGULAR MEETING MONTEREY-SALINAS TRANSIT August 9, CALL TO ORDER

Estados Unidos CALIFORNIA. Lesiones de trabajo. Salario mínimo, pago de salarios, trabajo de menores. Ayuda especial a trabajadores agrícolas

CALIFORNIA ASSOCIATION OF COLLEGES OF NURSING MEMBERSHIP LIST (Revised Spring 2006)

Name Dept Division / Role. Chavez, Herman AMAFCA Anaya, Erika A. AV-Aviation Executive Assistant Esquivel, Barbara AV-Aviation Accounting Asst

Alameda County Mental Health Plan 2025 Fairmont San Leandro, CA Local: (510) ACCESS Toll-free: (800)

Interim Director of Public Safety 9/1990 7/1991 Sergeant 9/1990 7/1991 Officer 2/ /1989

Institution Code: 745 Institution Name: The University of Texas Health Science Center at San Antonio

Editha Adams San Diego President Homecare Workers United. Vice-President Astrid Zuniga Stanislaus Vice-President Homecare Workers United

Date: 10/15/ :36 pm Rutherford County Chancery Court - 20 N. Public Square Room 302Judicial Building Murfreesboro, TN User: Raechelle

Client Assistance Program (CAP) Michael Thomas-Region one Leilani Pfeifer-Region two

2013 Judicial Evaluation Description What is this? In accordance with the by-laws of the Tarrant County Bar Association, we are

CIRCUIT COURT FOR HOWARD COUNTY PAGE 1 10/02/15 14:45

Thursday OPENING PLENARY SESSION. WELCOME: Anne-Marie McCartan, CCAS Executive Director

Jim Clifford & Bob Schneider

Southern Illinois University Edwardsville Organizational Chart

2nd Circuit Drug Court Est. August 1, th Circuit Drug Court

Date: 2/25/2014 2:40 pm Rutherford County Chancery Court - 20 N. Public Square Room 302Judicial Building Murfreesboro, TN User: Raechelle

BA 600 Economics and Statistics Foundations Section Day Time Instructor Location Format L1 Schwartz, Adina Online 7W1 Online [6/30/15 to 8/17/15]

Higher Education Administrative Accountability Report Special Provisions, Sec. 5 FY2015

TENNESSEE BOARD OF COMMUNICATION DISORDERS AND SCIENCES

APPROVED MEDIATORS LIST

Special Programs Staff - OHS. Name grade Position Special Education Teacher

The Best Lawyers in America 2008

Appellate Lawyer s Directory

CITY OF CYNTHIANA DELINQUENT PROPERTY TAXES

Disability Rights California

Higher Education - Administrative Accountability Report Special Provisions, Sec. 5 FY2014

UNIVERSITY OF NORTH CAROLINA BENEFITS NETWORK MEMBERS

Required Reports Regarding Healthcare-Related Services (AA )

Descendants of Samuel Goodman. Generation No. 1

SELECTING AN IMMIGRATION ATTORNEY Rev. 4/21/06

Medina County Domestic Relations Court Detail Schedule Jackie Owen:

January 4, Greg Harper Houston Sr. V. P. and Group President Pipelines & Field Services cg.harper@centerpointenergy.

THE SAN ANTONIO DEFENDER THE SAN ANTONIO DEFENDER Judicial Survey Results

The Best Lawyers in America 2009

Kansas Criminal Justice Information System ecitation Strategic Planning Project ecitation Local Interview Attendee List

W. Joseph McCorkle, Jr. (2005) Montgomery, AL Banking and Finance Law H. Hampton Boles (1993) Birmingham, AL R. Alan Deer (2011) Birmingham, AL


CRAVEN BOARD OF ELECTIONS CANDIDATE DETAIL LIST

Nursing Advisory Committee Contact List Organization Name & Address Phone California State University Channel Islands

Medina County Domestic Relations Court Detail Schedule Meredith Watts:

Council On State Taxation (COST) Denver, CO- Southwest-West Regional Seminar

SUPPLEMENTARY DATA. PRIBA Study Group. Lead Centre:

DISABILITY INSURANCE PROVISIONS

System receives a third of entire national grant funds for colleges with more than 25% Hispanic enrollments

City and County of San Francisco Page 1. Meeting Minutes Budget and Finance Committee

TMG Total Rewards Steering Committee:

KEITH WARREN 3292 East Florida Ave., Suite A Hemet, CA (951) kwarren@appliedearthworks.com

Community and Senior Services Carol Domingo, Contracts Division Manager Contracts Management Division (213)

(1) Delivery of a Controlled Substance, Lisdexamfetamine, (2) Delivery of a Controlled Substance, Hydrocodone, a. (1) Battery, a misdemeanor

American Bar Association Law Student Division. National Appellate Advocacy Committee Competition Results.

Planning & transport Management structure

Focus. City of South Padre Island Boards & Committees. Highlights from City Council

THE UNIVERSITY OF TENNESSEE COLLEGE OF PHARMACY ALUMNI ASSOCIATION BOARD OF DIRECTORS

Major California Universities Offering International Business, Global Trade & Logistics Programs

POST COMMISSION MEETING

Personal Physician Predesignation and March 2006 Change of Physician Rules Approved

RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER OCCUPATIONAL THERAPY DEPARTMENT. Occupational Therapy Department Staff

Virginia Commonwealth University Premedical Graduate Certificate Program Class of 2015

Education - Curriculum & Instruction Option, M.A.

Agency Search Consultants List

Case Doc 352 Filed 05/31/12 Entered 05/31/12 12:23:01 Desc Main Document Page 1 of 5

Approved PSYCHOLOGY Course List

Juvenile Justice Resources

Directory of Participating Dentists

UAMS Office of Human Resources Team Directory Slot 564 Fax Information

LIFE INSURANCE NEEDS Mark Sasko

Standards Clarification Project Phase 1

Cal State University Transcript Mailing Addresses

Transcription:

L AUGHLIN F ALBO L EVY & M ORESI LLP Workers Compensation Appeals Board and United States Department of Labor 2015 DIRECTORY Compliments of Laughlin, Falbo, Levy & Moresi LLP

ANAHEIM WORKERS COMPENSATION APPEALS BOARD [AHM] 1065 N. Pacific Center Dr., Suites 170 Anaheim, CA 92806 Telephone (714) 414-1800 Jamie Spitzer [Presiding] Ellen L. Flynn [Associate Chief Judge] Nancy M. Gordon Christine F. Nelson Alan Skelly Sally Doyle Howard Lemberg Patricia Frisch Tien S. Nguyen Paul Deweese Katherine Holmes Louise Armstrong Rebecca Soleman Rebecca Soleman Angela Morales Lula Cortez Kathy Chau Maribel Santillan Nancy Gabriel Liz Pla Lisa Ngo Corrina Diaz Imelda Arteaga Rosie Pulido Telephone: (714) 414-1803 Mandy Chow Melanie Tham Telephone: (714) 414-1801 Ferrando Huezo Mia Cornejo Margaret Hatch Rosalie Velarde CLERICAL SUPERVISOR Rachel De La Cruz-Gomez 1

BAKERSFIELD WORKERS COMPENSATION APPEALS BOARD [BAK] 1800 30th Street, Room 100 Bakersfield, CA 93301 Telephone (661) 395-2723 Robert Norton [Presiding] Donald Johnson Marilen Zinner Tammy Pulido Kathy Nixon Debbie Gonzalez DISABILITY EVALUATION UNIT Barbara Baker All Ratings for BAKERSFIELD cases handled through FRESNO. There is a Rating Officer at the BAKERSFIELD Board only four days out of each month. Dates vary. REHABILITATION UNIT CONSULTANT All Rehabilitation Claims for BAKERSFIELD cases handled through FRESNO. Dates vary. Telephone: (661) 335-7386 Facsimile: (661) 335-7390 Irene Valdez - (661) 335-7387 Oscar Patino - (661) 335-7388 Melba Perez - Office Support INFORMATION & ASSISTANCE OFFICER Debbie Westfall 2

EUREKA WORKERS COMPENSATION APPEALS BOARD [EUR] 100 H Street, Room 202 Eureka, CA 95501-4021 Telephone (707) 445-65l8 Jane Madsen Karen Radford All Ratings for EUREKA cases handled through REDDING Telephone: (530) 225-3179 Cassandra Giordano Char-Clerk REHABILITATION UNIT CONSULTANT All Rehabilitation Claims for EUREKA cases handled through SACRAMENTO - Handled through Chico 645 Salem Street, Chico, CA 95928 Telephone: (530) 895-4350 Millie Cruz - (530) 895-4316 / ss# 0000-4999 Tom Hoy - (530) 895-4330 / ss# 5000-9999 SATELLITE OFFICE *Do not send mail to these locations. Crescent CIty: Board of Supervisors Office 981 H Street, Room 100 Crescent City, CA 95937 3

FRESNO WORKERS COMPENSATION APPEALS BOARD [FRE] 2550 Mariposa Street, Room 4078 Fresno, CA 93721-2280 Telephone (559) 445-5051 Terry Menefee [Presiding] Richard Ellis Thomas Heslin Geoffrey Sims Kim Winther Linda Casavez Carlette Debbie Allison Room #2005 (559) 445-6428 Raul Hernandez Ruben Gomez Room #2035 (559) 445-5355 or (559) 445-5380 Marife Solano Kimberly Costa Charles Weaver Telephone: (559) 445-5638 Vincent Garcia - Manager Annette Custanon (Handles SS# s ending with 0000-4999) - (559) 445-5948 Toni Pinafler (Handles SS# s ending with 5000-9999) - (559) 445-5874 Calli Coleman (Manager) - (559) 445-5947 Ms. Afarian - (559) 445-6631 - Remit and Reimbursements 4

LONG BEACH WORKERS COMPENSATION APPEALS BOARD [LBO] 300 Oceangate, #202 Long Beach, CA 90802 Telephone (562) 590-5001 Clerical Supervisor Marisol Halyard Cynthia Quiel [Presiding] Jeffrey Bruflat Michael Justice Mary Ann Thompson Charles Williams Dwayne Marshall John Siquieros Casandra Stajdunar Simon Hovakimian Janet Coulter Karen Espinosa Agatha Magana Charise Rogers Del Reyes Anne Chen Melissa Bermijo Lumen Damaso Brandy Porter Unassigned Sharon Drake Telephone: (562) 590-5017 Mallory Aidells Vladamir Mihalovic Telephone: (562) 590-5001 Rose Stephanian Juan Gomez Telephone: (562) 984-1604 Margaret Torres (562) 984-1623 Gwen Steward (562) 984-1622 Cuqui Gonzalez (562) 984-1607 Luz Hernandez (562) 984-1604 Angelia Judkins (562) 984-1621 Loretta Christian (562) 984-1614 5

LOS ANGELES WORKERS COMPENSATION APPEALS BOARD (LAO] 320 W. 4th Street, 9th Floor Los Angeles, CA 90013-1105 Telephone (213) 576-7335 Eileen O Kane [Presiding] Nina Munoz Joseph Bewick Kacey Keating Roger Tolman Daniel Dobrin Douglas Watkins Richard Shapiro George Schulman Penny Barbosa John Hernandez Peter Hink Amy Horelly Diane Phillips Lori Oesterreich Sherry Williams Olga Tsvetkova Yvette Pena Maria (Jeanie) Walker Linda Simien Jenifer Brown Ruth Soliz Ana Hernandez Tobi Hajjar Lydia Hunter Adriana Romero Angelica Gonzalez Peggy Knox Verna Brown Rosalva Morales Telephone: (213) 576-7426 Elizabeth Fernando Maui Vuong Amy Toukhlandjian Telephone: (213) 576-7389 Douglas Ross Tristan Juan Jeanetta Pardo Ivan Cano NOTICE THE WCAB-LOS ANGELES OFFICE IS CLOSED ON FRIDAYS FOR WALK-THROUGHS, FILE PULLS, BLOCK SETTINGS, ETC. NO CASES WILL BE SET. THE REHABILITATION UNIT AND INFORMATION AND ASSISTANCE OFFICES REMAIN OPEN. THE WCAB WILL BE OPEN FOR: 1. FILING DOCUMENTS SUCH AS PETITIONS FOR RECONSIDERATION. 2. THE PHOTOCOPYING OF FILES. 6

MARINA DEL REY WORKERS COMPENSATION APPEALS BOARD [MON] 4720 Lincoln Blvd., 2nd Floor Marina Del Rey, CA 90292 Telephone (310) 482-3820 Paige Levy [Presiding] Elena Jackson Simone M. Blais Robert Spoeri Yvonne R. Jones Vacant Gregory Palmberg Gail Rentzer Jacqueline Walker Martha Gaines Cirina Rose Jeffrey Ward Robert M. Mays Craig Glass Lucy Barraga Martha Martin Sherri Barber Lisa Lamb Myrna Glawe Sona Meguerian LaDronna Smith Tiffany Thompson Adriana Clark Dina Granados Erayna Touchstone Monica Lari Delia Morales Unassigned Telephone: (310) 482-3868 Thom Meissnest Sandy Cheung Kersta Dupree Telephone (310) 482-3858 S Tyren Naulls Lori Houston 7

OAKLAND WORKERS COMPENSATION APPEALS BOARD [OAK] 1515 Clay Street, 6th Floor Oakland, CA 94612 Telephone (510) 622-2866 Gene Lam [Presiding] Deborah Lieberman Deborah Ross Christopher Miller Stanley Shields Jeffrey Friedman Lilla Rados Philip Estrin Rosa Moran Theresa Da Silva Rali Abdullah Tonya Murchison Kathi Mills Nelia Fe Lacap Benjamin Aguilar Wanda Brooks Carla Albaro Lily Acosta Kimya Jamerson Kelly Vallarino Telephone: (510) 622-4993 Tani Kizer, Consultant JoAnn Kawakami, Consultant Joann Baldwin, Clerk Telephone: (510) 622-2861 Ruben Ramirez, Consultant Andrea Lovette, Consultant Don Burian, Consultant Geneva Jones, Consultant Alfredo Monarrez (510) 814-6328 Mike Baron (510) 814-6337 Ritu Grame (510) 814-6346 8

OXNARD WORKERS COMPENSATION APPEALS BOARD [OXN] 1901 N. Rice Avenue, Suite 200 Oxnard, CA 93030 Telephone (805) 485-2533 Robert Hjelle [Presiding] William Carero Bonita Edelberg Jeffrey Morgan Craig Glass Belinda Doleman Belinda Doleman Elaine Garza Sonia Hernandez Jill Contreras Telephone: (805) 485-4423 Delilah Strother Ann Simshauser Karen Tavis Telephone: (805) 485-3528 Christina Urias Tel: (805) 568-1351 Fax: (805) 568-1377 Gemma Keshishyan 9

POMONA WORKERS COMPENSATION APPEALS BOARD [POM] 7am - 6pm 732 Corporate Center Drivev Pomona, CA 91768 Telephone (909) 623-4301 - Main WCAB Call Center (909) 469-1601 George Reny [Presiding] Ashly Oclor Kathryn Coutts Monica Reyes Sharron Bernal Rodney Johnston Aracelie Saavedra Janet Barajas Ana Gonzalez Pauline Hicks Debbie Belhumeur Lora Freedman Mark Evans Cesar Catherine Alma 10

REDDING WORKERS COMPENSATION APPEALS BOARD [RDG] 2115 Civic Center Drive, Room 15 Redding, CA 96001-2796 Telephone (530) 225-2845 Kathleen Ortega, [Presiding] Brigham Jones Sharyn Sala Mary Sulprizio Vina King Ed Brewer Sandy Wells Unassigned CLERKS Alex Amanda Katherine Char Michelle Karrie DISABILITY EVALUATION UNIT Telephone: (530) 225-3179 Annalisa Faina - DEU Rater/Supervisor Linda Fields, Rater REHABILITATION UNIT All Rehabilitation Claims for REDDING cases handled through SACRAMENTO. 645 Salem Street, Chico, CA 95928 Telephone (530) 895-4350 Millie Cruz (530) 895-4316 / SS# 0000-4999 Tom Hoy (530) 895-4330 / SS# 5000-9999 INFORMATION AND ASSISTANCE Tel: (530) 225-2047 11

RIVERSIDE WORKERS COMPENSATION APPEALS BOARD [RIV] 3737 Main Street, 3rd Floor Riverside, CA 92501 Telephone (951) 782-4269 Facsimile (951) 782-3275 Timothy Sanford-Wachtel [Presiding] Chris Willmon Victor Jimenez Robert Hill David Thorne Robin Woolsey Letty Savalza Letty Savalza Susan Burke Patricia Dominguez Clair Garcia Michelle Bradshaw Abbie Santiago Mark Green Valerie James REHABILITATION UNIT CONSULTANT Valerie James All EDD claims for RIVERSIDE cases handled through SAN BERNARDINO 12

SACRAMENTO WORKERS COMPENSATION APPEALS BOARD [SAC] 160 Promenade Circle, Suite 300 Sacramento, CA 95834 Telephone (916) 928-3101 Joel Harter [Presiding] Dudley Phenix Gregory Cleveland Ellen Farmer Joseph Samuel Noah Tempkin Robert Thiessen Unassigned Valerie White Marian Lindsey Marian Lindsey Shawn Dean Ben Graben Shawn Dean Telephone: (916) 928-3150 Pia Hampton Lily Taylor Telephone: (916) 928-3158 Michelle Huntington Jared Pontios Telephone: (916) 928-4790 Mickey Kwong 13

SALINAS WORKERS COMPENSATION APPEALS BOARD [SAL] 1880 North Main Street, First Floor Salinas, CA 93906-3486 *Telephone (831) 443-3060 Stuart Crymes [Presiding] Thomas Clarke [Associate Chief Judge] Timothy Haxton Daniel H. Asturias Nora Martinez Iliza Diaz Dina Garcia Selene Ogden Madeline Mota Sylvia Gutierrez Aidan Ogamba * Telephone Number for Salinas WCAB is an answering service. 7:00am-6:00pm calls will be returned within 24 hours. 14

SAN BERNARDINO WORKERS COMPENSATION APPEALS BOARD [SBR] 464 W. 4th Street, Suite 239 San Bernardino, CA 92401 Telephone (909) 383-4522 Fax (909) 383-6267 Lynn Donaldson [Presiding] Robert Pusey Gregory Johnson Karen Traw Tracey Hughes Myrtle Petty Protem Maria Solis Sherry Lopez Irene Yellowhorse Unassigned Kathy Hall Jane Shenee Jakie Pumpa Sharon Diaz Jane Brown SUPERVISING CLERK Helen Wilson Stella Wolfe Cheryl Menezes Jeanette Rodriguez PO BOX 781, San Bernardino, CA 92407 Telephone: (909) 388-7655 Mary Wallace - (909) 386-5291 Johnathan Bates - (909)386-5292 Laticia Brown - (909) 388-7689 Meg Carbonell - (909) 888-2573 Yolanda Perez - (909) 381-1626 Asish Nand - (909) 855-8248 15

SAN DIEGO WORKERS COMPENSATION APPEALS BOARD [SDO] 7575 Metropolitan Drive, 2nd Floor San Diego, CA 92108 Telephone (619) 767-2081 or (619) 767-2170 Clifford Levy [Presiding] Andrew Shorenstein Charles Ellison Thomas Harwayne Michelle Utter James Gregory Mark Romano Linda Atcherley Edna Martinez Sylvia Arnold Prima Alcantra Marimar Soldan Vivian Co Marilyn McGuhy Nancy Schuster Marilyn McGuhy Telephone: (619) 767-2086 Fax Number: (619) 767-2198 Lisa Larroca Kim Jones Carmen Eustaquio Telephone: (619) 767-2082 Etta Morales Telephone: (858) 689-6781 Fax Number: (619) 686-5805 WCAB EDD Number: (619) 686-5804 16

SAN FRANCISCO WORKERS COMPENSATION APPEALS BOARD [SFO] 455 Golden Gate Avenue, 2nd Floor San Francisco, CA 94102 Telephone (415) 703-5011 Fax (415) 703-5045 Jacqueline Duncan [Presiding] Colleen Casey David Hettick Terri E Gordon Franci R. Lehmer Joan Succa Amy Tang-Yu Lionel Vasquez (Asbestos) / Carol Chong (Non-Asbestos) Angelina Paradiso Robin Obsterbaan Amy Tang-Yu Gussie Salmer Jill Comyford Telephone: (415) 703-5020 Eduardo Santana Doug Ellinson Chacko Samuel Gary Tom Frank Gould Linda Lam EDD MAILING ADDRESS P.O. Box 193534 San Francisco, CA 94119-3534 17

SAN JOSE WORKERS COMPENSATION APPEALS BOARD [SJO] 100 Paseo de San Antonio, Room 241 San Jose, CA 95113-1482 Telephone: (408) 277-1246 Fax: (408) 277-1056 Answering service (7:00 am 6:00 pm) Call returned within 24 hours. Daniel Asturias [Presiding] Howard Levin Robert K. Wickler Dora Padilla David Lauerman Steven Tuan Melissa Barrera Emma Sanchez Ofelia Martinez Helen Garza Mary Zhong Corazon Santos Linda Lannus Phil Taves Esther Pangelina Aidan Ogamba 18

SAN LUIS OBISPO WORKERS COMPENSATION APPEALS BOARD [SLO] 4740 Allene Way, Suite 100 San Luis Obispo, CA 93401 Telephone (805) 596-4153 Michael LeCover [Presiding] Lydia Mourenza Sonia Rodriguez Nancy Dorfmen Send DEU Rating Requests to Desiree Shroger & Laurel Possey 4740 Allene Way, Suite 100 San Luis Obispo, CA 93401 (805) 596-4157 Tim Brown (805) 596-4159 Bill Hellriegel (805) 549-3753 - Hearings only (EDD reps rotate between San Luis Obispo and Santa Barbara Boards) 19

SANTA ANA WORKERS COMPENSATION APPEALS BOARD [ANA] 605 W. Santa Ana Blvd., Bldg. 28, Room 451 Santa Ana, CA 92701 Telephone (714) 558-4121 Fax (714) 558-4034 Angel Barnes Joanne M. Coane Pamella Stone Donna David Pamela Pulley Vincente Blas Richard Brennan Robin Lerinton Jeremy Clifft Margie Maniquez Tina Jacobson Ramiro Vera Debbie Flores Heidi Samonte Mona Yassa Cheryl Normita Lilian DISABILITY EVALUATION UNIT Telephone: (714) 558-4113, Ext. 6749 Elizabeth Alvarez Cecelia Mejia Telephone: (714) 558-4597 Maria Alviso Telephone: (714) 558-6715 Doris O Donnell Mark Klien 20

SANTA ROSA WORKERS COMPENSATION APPEALS BOARD [SRO] 50 D Street, Room 420 Santa Rosa, CA 95404-4760 Telephone (707) 576-2391 James Johnson [Presiding Judge] Michael Hurley Janice Larson Kurt Schwab Telephone: (707) 576-2374 Cindy Snow Telephone: (707) 576-2452 Chari Ferrero P.O. Box 700 Santa Rosa, CA 95402 Telephone: (800) 480-3287 Valerie Backstrom Jocelyn Fernandez 21

STOCKTON WORKERS COMPENSATION APPEALS BOARD [STK] 31 East Channel Street, Room 344 Stockton, CA 95202-2314 Telephone (209) 948-7757 Kearse McGill [Presiding] Alvin Webber Terre Sadosky Scott Crawford Melissa Santo Kimberly Berry Lisa Banuelos Cassandra Malone Telephone: (209) 948-3651 Joe Carranza Wilann Moton Telephone: (209) 948-7982 Sheree Langenes Pam Meyers Telephone: (209) 465-4269 Gustavo Sanchez Sal Camarillo Nanette Elgarico 22

VAN NUYS WORKERS COMPENSATION APPEALS BOARD [VNO] 6150 Van Nuys Boulevard, Room 105 Van Nuys, CA 91401-3373 Telephone (818) 901-5367 Linda J. Morgan [Presiding] Diane Bancroff Jerold Cohn Mark Feldman John Gutierrez David Seymour Ralph Zamudio Semial Treadwell Michael S. Cole Linda Davidson-Guerra Sharon Velzy Peter Christiano Debra Keyson David Pollack Robin Brown Darcy Kosta Michael Greenberg Lynn Devine Shiloh Rasmusson Mitch Bushin Sandra Rosenfeld Sonia Lujano Patty Soliz Elizabeth Rosas Elma Havan Louisa Padlan Kathy Moses Emilia Rios Gina Balagtas Jemima Doce Laura Mejia Lucy Atamian Vanessa Moreno Marlin Thomassian Thelma Martinez Mery Kazaryan Aida Diaz Crystal Wilson Daisy Ovorak Virgel Albesto Ruzan Bidryan George Rutherford Antonio Magtal Betty Makerian Mike Tarakhayan Telephone: (818) 901-5367 Bob Reiter Stephen Stumbris Jeffrey Vistro Lilly Engelberg *Van Nuys Board Information Continued on Page 24 23

VAN NUYS WORKERS COMPENSATION APPEALS BOARD [VNO] (Continued) 6150 Van Nuys Boulevard, Room 105 Van Nuys, CA 91401-3373 Telephone (818) 901-5367 EDD UNIT Telephone: (818) 901-5616 Fax: (818) 901-5836 Ricardo, ext. 5832 - SS# (0000-1999) Cecilia, ext. 2402 - SS# (2000-3999) Ed Fujimoto, ext. 5838 - SS# (4000-5999) Maggie, ext. 5833 - SS# (6000-7999) Ken Fuselier, ext. 5840 - SS# (8000-9999) 24

DIVISION OF WORKERS COMPENSATION ADMINISTRATION (HEADQUARTERS) 1515 Clay Street, 6th Floor Oakland, CA 94612 Telephone (510) 622-2866 ACTING ADMINISTRATIVE DIRECTOR - Destie Overpeck CHIEF - Richard Newman ACTING CHIEF, LEGAL COUNSEL - George Parisotto CHIEF, PROGRAMMATIC SERVICES - Denise Vargas EAMS UNIT - Kathy Patterson (manager) / Mark Fudem (special advisor) AUDIT UNIT - Cora Lee (manager) DISBILITY EVALUATION UNIT - Barry Knight (manager) T: (510) 622-2859 INFORMATION & ASSISTANCE UNIT - Bob Wong (manager) T: (510) 622-2861 RETRAINING & RETURN TO WORK UNIT - T: (510) 286-6990 CLAIMS ADJUSICATION UNIT / NORTHERN REGION - Tom Clarke (associate chief judge) 1800 North Main Street, Suite 100 & 200, Salinas, CA 93906 CLAIMS ADJUSICATION UNIT / CENTRAL REGION - Mark Fudem (associate chief judge) 1515 Clay Street, 17th Floor, Oakland, CA 94612 CLAIMS ADJUSICATION UNIT / SOUTHERN REGION - Ellen L. Flynn (associate chief judge) 1065 N. Pacific Center Drive, Suite 170, Anaheim, CA 92806 WORKERS COMPENSATION INSURANCE RATING BUREAU 525 Market Street, Suite 800 San Francisco, CA 94105-2767 Telephone (415) 777-0777 Fax (415) 788-7007 Email: customerservice@wcirb.com www.wcirb.com MAILING ADDRESS FOR RECONSIDERATION UNIT Workers Compensation Appeals Board P.O. Box 429459 San Francisco, CA 94142-9459 CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS WEB SITE www.dir.ca.gov 25

U.S. DEPARTMENT OF LABOR DIRECTORY U.S. DEPARTMENT OF LABOR Office of Administrative Law Judges 90 Seventh Street, Suite 4-800 San Francisco, CA 94103 Telephone (415) 625-2200 Facsimile (415) 625-2201 ADMINISTRATIVE LAW Jennifer Gee (District Chief Judge) William Dorsey Stephen Berlin Richard Clark John Christopher Larsen LEGAL ASSISTANT Cecilia McBride Tom Fazioli Mae Wong Vivian Chan Vivian Chan OFFICE MANAGER Olga Cantu 26

U.S. DEPARTMENT OF LABOR DIRECTORY US. DEPARTMENT OF LABOR -13th COMPENSATION DISTRICT Employment Standards Administration Office of Workers Compensation Programs Division of Longshore and Harbor Workers Compensation 90 Seventh Street, #15-100 San Francisco, CA 94103 Telephone (415) 241-3479 Facsimile (415) 625-7470 DISTRICT DIRECTOR Todd Bruininks CLAIMS EXAMINER DIRECT NUMBER (415) 241-3476 DIRECT NUMBER Tim Smith (415) 241-3481 Maureen Maher (415) 241-3480 RECEPTIONIST Rebecca Pano (415) 241-3479 27

U.S. DEPARTMENT OF LABOR DIRECTORY U.S. DEPARTMENT OF LABOR - 18th COMPENSATION DISTRICT Office of Workers Compensation Program Division of Longshore and Harbor Workers Compensation 501 West Ocean Blvd., Suite 6230 Long Beach, CA 90802 Telephone (562) 980-3577 Facsimile (562) 980-3587 DISTRICT DIRECTOR DIRECT NUMBER Marco Adame II (562) 256-3186 CLAIMS EXAMINER DIRECT NUMBER Hipatia Hernandez Michele Pappas Jorge Alexandria Benjamin Guillermo Grisela Martinez Christopher Green (562) 256-3190 (562) 256-3192 (562) 256-3187 (562) 256-3189 (562) 256-3191 (562) 256-3188 REHABILITATION SPECIALIST Laurie Yager (562) 256-3195 28