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See the date on the Clerk s Certificate of Mailing on page 2 of this form. Page 1 of 2 Form Adopted for Optional Use Judicial Council of California FL-440 Rev. January 1 2003 OF CALIFORNIA SUPPORT ORDER Family Code 5602 www.courtinfo.ca.gov American LegalNet Inc. www. FL-440 ATTORNEY OR PARTY WITHOUT ATTORNEY Name state bar number and address TELEPHONE NO. FOR COURT USE ONLY FAX NO. ATTORNEY FOR Name SUPERIOR COURT OF CALIFORNIA COUNTY OF STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE...
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What is fl 440 california form?
The fl 440 california form is a Workers' Compensation Claim Form used in the state of California to report a work-related injury or illness.
Who is required to file fl 440 california form?
Employees who have suffered a work-related injury or illness in California are required to file the fl 440 california form to initiate a workers' compensation claim.
How to fill out fl 440 california form?
To fill out the fl 440 california form, you need to provide information about the injury or illness, such as date of occurrence, description of the incident, and details of medical treatment received. The form must also include personal information, such as name, address, and contact details.
What is the purpose of fl 440 california form?
The purpose of the fl 440 california form is to report and document work-related injuries or illnesses for the purpose of processing workers' compensation claims and providing benefits to employees.
What information must be reported on fl 440 california form?
The fl 440 california form requires reporting of information such as the date of injury or illness, a description of the incident, details of medical treatment received, and personal information of the employee filing the claim.
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