WCPanelIQ
PanelLienDenied

Salazar, Juan

JUAN SALAZAR, Applicant vs. MAYWOOD PLAZA MARKET; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ10344309
Decision date
Dec 21, 2025
District office
Oxnard
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSÉ H. RAZO, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER

Injury / body parts: low back, shoulders, legs, knees, arms, hands, abdomen, groin, internal, hernia

LC §4903.8LC §4903.5LC §5909LC §5900CCR §10600

Summary

Lien claimants Industrial Healthcare PMG, Complete Interpreting, and Peralta Hills-Mission Valley Imaging filed liens supported by Labor Code section 4903.8(d) declarations signed by Ilona Kulikova. The WCJ initially found the declarations invalid because Kulikova lacked personal knowledge of the services provided and relied on information entered into a computer system by others, and that amended declarations were untimely. On reconsideration, the WCAB issued an ODAR finding the declarations valid because they complied with CCP section 2015.5 and made a prima facie showing of truth, shifting the burden to defendant to prove incompetence. Defendant sought further reconsideration, arguing the declarant was not competent because she lacked direct knowledge of the physicians' services. The Board denied reconsideration, holding that section 4903.8(d) does not require firsthand or percipient knowledge and that defendant offered no persuasive evidence to overcome the prima facie showing.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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