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WORKERS COMPENSATION INSURANCE APPLICATION Program Endorsed by: Cal CPA and CSCA Program available through: CALICO Insurance Services Tel: 800.652.1772 Workers Compensation General Information 1.

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What is workers compensation insurance application?

Workers compensation insurance application is a form that must be completed by employers to provide coverage for employees who suffer work-related injuries or illnesses.

Who is required to file workers compensation insurance application?

Employers are required by law to file workers compensation insurance application to provide coverage for their employees.

How to fill out workers compensation insurance application?

Workers compensation insurance application can be filled out by providing information about the company, number of employees, type of work being done, and previous claims history.

What is the purpose of workers compensation insurance application?

The purpose of workers compensation insurance application is to ensure that employees who are injured or become ill due to work-related activities are provided with medical care and compensation for lost wages.

What information must be reported on workers compensation insurance application?

Information such as company details, employee count, job descriptions, and any previous claims history must be reported on workers compensation insurance application.

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