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Workers' Compensation Forms (PDF)

If you have questions about the MPN, to file an MPN complaint, or to obtain a copy of any notification regarding the medical provider network that is required to be given to an employee by regulations adopted by the administrative director that is not listed below, please submit a request to the MPN Contact, Felicia Amenta by phone at (800) 560-5060 or e-mail at

For assistance in locating MPN providers and scheduling appointments, please contact the Medical Access Assistant by phone at (844) 752-1141 or e-mail at Medical Access Assistants are available Monday through Saturday (excluding Sundays and holidays) from 7 am to 8 pm, Pacific Time.