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California Workers Compensation & Risk Conference St. Aegis Hotel, Dana Point, CA (October 47, 2016)Contact information: Kristi Hanson (312) 4891677 Email completed form to: Kristiansen cwcriskconference.
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Start by downloading the form from the California Division of Workers' Compensation website.
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Fill in your personal information, including name, address, contact details, and Social Security number.
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Provide details about your employer, such as their name, address, and contact information.
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Workers' compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue their employer for the tort of negligence.
All employers in California are required to provide workers' compensation insurance for their employees.
Employers can fill out the form through the California Division of Workers' Compensation website or through their insurance provider.
The purpose of workers' compensation is to provide financial assistance and medical benefits to employees who are injured on the job.
Information such as employee name, date of injury, nature of injury, and medical treatment received must be reported on the form.
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