California Forms


 372 State Forms found

name number revision print or send online

PRIVATE - PUBLIC INTERIM APPLICATION

Form: A-3A (1-2016)

APPLICATION FOR PERMANENT CERTIFICATE OF CONSENT TO SELF-INSURE FOR INTERIM SELF-INSURER

Form: A-3B (1-2016)

GUARANTY OF WORKERS' COMPENSATION LIABILITIES

Form A-4 (1-2016)

CORPORATE RESOLUTION AUTHORIZING APPLICATION TO THE DIRECTOR OF INDUSTRIAL RELATIONS, STATE OF CALIFORNIA FOR A CERTIFICATE OF CONSENT TO SELF-INSURE WORKERS’ COMPENSATION LIABILITIES

Form A-5 (1-2016)

AGREEMENT AND UNDERTAKING FOR SECURITY DEPOSIT

Form A-6 (1-2016)

REPORT OF TRANSFER OF RECORDS

No Form Number no date

Preventing Psychiatric Injuries

No Form Number Rev. 7/2018

Principios fundamentales de la compensación de trabajadores para empleadores

No Form Number julio 2010

Simplified flow chart for claims process

No Form Number no date

Reporting suspected medical care provider fraud pursuant to Labor Code section 3823

No Form Number no date

Glossary of workers’ compensation terms for injured workers - Fact Sheet B

Fact Sheet B March 2013

Answers to your questions about the state's Uninsured Employers Benefits Trust Fund - Fact Sheet F

Fact Sheet F March 2013

Basic facts on workers' compensation for injured workers - Chinese

No Form Number 2010年7月

Answers to your questions about utilization review - Fact Sheet A - Chinese

Fact Sheet A 2014年3月

Glossary of workers' compensation terms for injured workers - Fact Sheet B - Chinese

Fact Sheet B 2013年3月
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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