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California State ITII every child. One voice. 2327 L Street, Sacramento, 916.440.1985 CA 958165014 FAX 916.440.1986 info Capra.org www.capta.org WORKERS COMPENSATION ANNUAL PAYROLL REPORT (Attach
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The workers-comp-form - 17th district is a form used to report workers' compensation information in the 17th district.
All employers in the 17th district are required to file the workers-comp-form.
Employers can fill out the workers-comp-form by providing information about their employees, wages, and any work-related injuries.
The purpose of the workers-comp-form is to ensure that employers are providing adequate workers' compensation coverage for their employees.
Employers must report information such as their company name, employee details, wages, and any work-related injuries.
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