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Cal/OSHA Affidavit of Eligibility General Industry I, ___ acknowledge that prior to attending this OSHA #5039 course, I have met the following OSHA mandated prerequisites to become a Cal/OSHA Outreach

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How to fill out calosha affidavit of eligibility

01

Obtain the CalOSHA Affidavit of Eligibility form.

02

Fill out the personal information section including your full name, address, and contact information.

03

Provide details about your current employment status and job responsibilities.

04

Sign and date the form where indicated.

05

Submit the completed form to the appropriate CalOSHA office.

Who needs calosha affidavit of eligibility?

01

Employees working in industries regulated by the California Division of Occupational Safety and Health (CalOSHA) may need to fill out the CalOSHA Affidavit of Eligibility as part of the certification process.

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What is calosha affidavit of eligibility?

The Cal/OSHA affidavit of eligibility is a form that certifies a contractor's eligibility to work on public works projects in California.

Who is required to file calosha affidavit of eligibility?

All contractors who want to bid or work on public works projects in California are required to file the Cal/OSHA affidavit of eligibility.

How to fill out calosha affidavit of eligibility?

Contractors can fill out the Cal/OSHA affidavit of eligibility form by providing information about their workers' compensation insurance coverage, safety record, and other eligibility criteria.

What is the purpose of calosha affidavit of eligibility?

The purpose of the Cal/OSHA affidavit of eligibility is to ensure that contractors working on public works projects in California meet certain safety and insurance standards.

What information must be reported on calosha affidavit of eligibility?

Contractors must report information about their workers' compensation insurance policy, safety program, and any safety violations or citations.

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