All Forms - State Compensation Insurance Fund [PDF]

... Employee's Guide to Workers' Compensation (English/Spanish) e13286

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    All Forms Mandated Forms Employee’s Guide to the State Fund MPN by Harbor Health (English/Spanish) (http://content.statefundca.com//pdf/e3851.pdf) e3851 Employee’s Guide to the State Fund MPN for Claims Management Service (English/Spanish) (http://content.statefundca.com//pdf/e13177.pdf) e13177 New Employee’s Guide to Workers’ Compensation (English/Spanish) (http://content.statefundca.com//pdf/e13286.pdf) e13286 Notice to Employees (http://www.dir.ca.gov/dwc/NoticePoster.pdf) DWC 7 Downloadable Forms Employer's First Report of Injury (http://content.statefundca.com//pdf/e3067.pdf) e3067 Express Scripts Pharmacy Registration Form (http://content.statefundca.com//pdf/ExpressScriptPharmacyRegistration.pdf) Marijuana/Cannabis Operations Supplemental Questionnaire (http://content.statefundca.com//pdf/e10082.pdf) e10082 Medical Mileage Expense Form (http://content.statefundca.com//pdf/e3065.pdf) e3065 Notice Of Temporary Staffing Client Letter (http://content.statefundca.com//pdf/e10383.pdf) e10383 Safety Materials Order Form (http://content.statefundca.com//pdf/e17614.pdf) e17614 Workers' Compensation Claim Form (DWC 1) (http://content.statefundca.com//pdf/e3301.pdf) e3301 Waiver Forms to Elect Exclusions: Corporate Officers and Directors Waiver of Workers’ Compensation Coverage (http://content.statefundca.com//pdf/e10280.pdf) e10280 General Partners Waiver of Workers’ Compensation Coverage (http://content.statefundca.com//pdf/e10281.pdf) e10281 LLC Managing Members Waiver of Workers Compensation Coverage (http://content.statefundca.com//pdf/e10282.pdf) e10282 Informational Materials 10 Steps to Lower Workers' Compensation Costs (http://content.statefundca.com//pdf/e13726.pdf) e13726 ACORD 130 (Non-Broker Accounts) (http://content.statefundca.com//pdf/ACORD130.pdf) ACORD 130 An Ergonomic Primer on Office Lighting (http://content.statefundca.com//pdf/sftyOfficeLighting.pdf) Deposit Payroll Reporting (http://content.statefundca.com//pdf/e13207.pdf) e13207 New Developing and Maintaining a Successful Return to Work Program (http://content.statefundca.com//pdf/e13490.pdf) e13490 Directory of Workers' Compensation Administrators by State (http://content.statefundca.com//pdf/DirectoryOfAdministrator.pdf) Explanation of Insurance Surcharges (http://content.statefundca.com//pdf/e15311.pdf) e15311 For Employers: Developing a Successful Return to Work Program (http://content.statefundca.com//pdf/e13088.pdf) e13088 For Employers: Facts for the California Employer (http://content.statefundca.com//pdf/e13701.pdf) e13701 Information Sharing Disclosure (Privacy Policy) (http://content.statefundca.com//pdf/e26000.pdf) e26000 Making a Successful Return To Work (http://content.statefundca.com//pdf/e13090.pdf) e13090 Modified Jobs, Reduced Costs (http://content.statefundca.com//pdf/e13720.pdf) e13720 New Concepts in Seating (http://content.statefundca.com//pdf/sftySeatingConcepts.pdf) Requirements for Separate Classifications by Wage Level in the Construction Industry (http://content.statefundca.com//pdf/e14296.pdf) e14296 Premium Audit Guide (http://content.statefundca.com//pdf/PremiumAuditGuide.pdf) e6901 Premium Audit Guide (Spanish) (http://content.statefundca.com//pdf/PremiumAuditGuideSpanish.pdf) e6902 Reduce Claims Costs Through Timely Claims Reporting (http://content.statefundca.com//pdf/e13184.pdf) e13184 New Reporting An Injury (http://content.statefundca.com//pdf/e13704.pdf) e13704 Safety Audio Visual Catalog (http://content.statefundca.com//pdf/e17804.pdf) e17804 Sample Ergonomics Program (http://www.statefundca.com/Home/StaticIndex? id=http://content.statefundca.com//pdf/sftySampleProg.rtf) State Compensation Insurance Fund - California's Workers' Compensation Specialist (http://content.statefundca.com//pdf/e13837.pdf) e13837 State Fund Safety Services (http://content.statefundca.com//pdf/e13182.pdf) e13182 New State Fund Value Statement for Brokers (http://content.statefundca.com//pdf/e13183.pdf) e13183 New State Fund's Financial Strength and Lasting Value (http://content.statefundca.com//pdf/e13646.pdf) e13646 Supplemental Application Form (SAF) (http://content.statefundca.com//pdf/e10328.pdf) e10328 Understanding Your Annual Rating Endorsement (http://content.statefundca.com//pdf/e10350.pdf) e10350 Understanding Your Declarations Page (http://content.statefundca.com//pdf/e10355.pdf) e10355 Understanding Your Final Premium Bill (http://content.statefundca.com//pdf/e10170.pdf) e10170 Understanding Your Quote for Insurance (http://content.statefundca.com//pdf/e10502.pdf) e10502 Your Guide to the Alternative Dispute Resolution System (http://content.statefundca.com//pdf/e13222.pdf) e13222 Your Guide to Workers’ Compensation (English/Spanish) (http://content.statefundca.com//pdf/e13699.pdf) e13699

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