California Forms
9 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
APPLICATION FOR A CERTIFICATE OF CONSENT TO ADMINISTER WORKERS' COMPENSATION SELF INSURANCE CLAIMS |
Form A4-50 | (Rev 8/96) | ||
APPLICATION FOR DISCRETIONARY PAYMENTS FROM THE UNINSURED EMPLOYERS' FUND |
DWC / UEF 50 | Rev: 11/2008 | ||
APPLICATION FOR SUBSEQUENT INJURIES FUND BENEFITS |
APPSIF | Version 11/2008 | ||
APPLICATION FOR SELF INSURANCE ADMINISTRATOR'S EXAMINATION |
Form: A4-100 | (9-1991) | ||
PRIVATE SELF-INSURER’S ANNUAL REPORT (2022) |
Form AR-1 | (1-2016) | ||
PUBLIC SELF-INSURER’S ANNUAL REPORT |
Form AR-2 | (1-2020) | ||
PRIVATE SELF-INSURER’S ANNUAL REPORT (2023) |
Form AR-1 | (1-2016) | ||
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) | ||
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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