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 282 State Forms found

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2023 Annual Report of Inventory for Claims Reported During Calendar Year (CY) 2023

 Form DWC-851 (Rev. 11-2023)

VERIFICATION - Application for Discrimination Benefits Pursuant to Labor Code Section 132a

 No Form Number April 2014

SUPPLEMENTAL JOB DISPLACEMENT NON-TRANSFERABLE VOUCHER FORM FOR INJURIES OCCURRING ON OR AFTER 1/1/13 (Chinese)

 DWC-AD 表格 10133.32 審核: 10/1/15

SUPPLEMENTAL JOB DISPLACEMENT NON-TRANSFERABLE VOUCHER FORM FOR INJURIES OCCURRING ON OR AFTER 1/1/13 (Korean)

 DWC-AD 양식 10133.32 수정: 10/1/15

SUPPLEMENTAL JOB DISPLACEMENT NON-TRANSFERABLE VOUCHER FORM FOR INJURIES OCCURRING ON OR AFTER 1/1/13 (Tagalog)

 DWC-AD Form 10133.32 Rev: 10/1/15

SUPPLEMENTAL JOB DISPLACEMENT NON-TRANSFERABLE VOUCHER FORM FOR INJURIES OCCURRING ON OR AFTER 1/1/13 (Vietnamese)

 Mẫu đơn DWC-AD 10133.32 Ngày sửa đổi: 10/1/2015

VERIFICATION (General)

 No Form Number April 2014

DISCLOSURE OF CONTRACT REIMBURSEMENT RATE

 Form DWC 5307(12) (7/21)

JOINT POWERS AUTHORITY (JPA) SELF-INSURER'S PROFILE AND FINANCIAL SUMMARY REPORT (Form J-1)

 OSIP J-1 (1-2020)

SELF-INSURER'S PROFILE AND FINANCIAL SUMMARY REPORT (Form P-1)

 OSIP P-1 (1-2020)

2025 ANNUAL REPORT OF ADJUSTING LOCATIONS

 Form DWC-857 Rev. 2024

2024 Annual Report of Inventory for Claims Reported During Calendar Year (CY) 2024

 Form DWC-851 Rev. 2024
Disclaimer: These forms may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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