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This document is a compliance declaration related to labor code sections in California, specifically for workers' compensation forms.
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How to fill out DECLARATION STATEMENT OF COMPLIANCE WITH LABOR CODE SECTIONS 139.3 AND 4906 G (CALIFORNIA FORM)

01
Obtain the DECLARATION STATEMENT OF COMPLIANCE WITH LABOR CODE SECTIONS 139.3 AND 4906 G form.
02
Fill in your name and contact information at the top of the form.
03
Review the applicable Labor Code Sections 139.3 and 4906 G to ensure understanding.
04
Provide information regarding your compliance status with each section.
05
Attach any necessary supporting documentation as required.
06
Sign and date the declaration at the bottom of the form.
07
Submit the completed form to the appropriate agency or department.

Who needs DECLARATION STATEMENT OF COMPLIANCE WITH LABOR CODE SECTIONS 139.3 AND 4906 G (CALIFORNIA FORM)?

01
Employers in California who are seeking to ensure compliance with labor laws related to workers' compensation.
02
Individuals or businesses applying for permits or licenses that require proof of compliance with Labor Code Sections 139.3 and 4906 G.
03
Contractors and subcontractors involved in public works projects in California.
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The Declaration Statement of Compliance with Labor Code Sections 139.3 and 4906 G is a form used in California to certify that an entity is in compliance with specific labor laws related to workers' compensation and insurance requirements.
Employers, contractors, or entities engaging in workers' compensation insurance must file this declaration to demonstrate compliance with the applicable labor code sections.
To fill out the form, individuals must provide required information, such as their business name, address, contact information, and specific statements confirming compliance with relevant labor laws. It is essential to carefully follow the instructions provided on the form.
The purpose of this declaration is to ensure that employers are abiding by California labor laws, particularly in regard to workers' compensation and employer responsibilities, thereby protecting workers' rights and ensuring safety.
The form requires information such as the name of the business, contact details, confirmation of workers' compensation insurance, and compliance verification with Labor Code sections 139.3 and 4906 G.
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