Qualified Medical Examiner Form 118 Attachment
CA Division of Workers Compensation · Workers Compensation
Verified current as of July 31, 2026
This is a supplementary attachment to QME Form 118 used by qualified medical examiners to provide additional documentation or findings in workers' compensation medical evaluations. It allows examiners to include extended information that supports their medical opinions and findings.
This form must be printed and filled by hand, or opened in Adobe Acrobat.