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California Audit Referral Form for Workers' Compensation

Category:
California Workers Compensation - Official - Audit Referrals
State:
California
Control #:
CA-AU-903-WC
Format:
PDF
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Description

This form is an official California Worker's Compensation form which complies with all applicable state codes and statutes. USLF updates all state forms as is required by state statutes and law. This form is available in fillable PDF format. The California Audit Referral Form for Workers' Compensation is a document used to refer employers to the California Department of Insurance (CDI) for review of their Workers' Compensation insurance coverage. The CDI audits these policies to ensure employers are in compliance with Workers' Compensation laws. The referral form contains information about the employer, the policy, and the suspected violation of the Workers' Compensation laws. There are two types of California Audit Referral Forms for Workers' Compensation: the Initial Referral Form and the Follow-up Referral Form. The Initial Referral Form is used to make the initial referral to the CDI for review. This form is filled out by the employer and includes information about the policy, the employer, and the suspected violation. The Follow-up Referral Form is used to provide additional information or to update the CDI on the status of the policy. This form is also filled out by the employer and includes information about any changes to the policy or the employer's compliance with the Workers' Compensation laws.

The California Audit Referral Form for Workers' Compensation is a document used to refer employers to the California Department of Insurance (CDI) for review of their Workers' Compensation insurance coverage. The CDI audits these policies to ensure employers are in compliance with Workers' Compensation laws. The referral form contains information about the employer, the policy, and the suspected violation of the Workers' Compensation laws. There are two types of California Audit Referral Forms for Workers' Compensation: the Initial Referral Form and the Follow-up Referral Form. The Initial Referral Form is used to make the initial referral to the CDI for review. This form is filled out by the employer and includes information about the policy, the employer, and the suspected violation. The Follow-up Referral Form is used to provide additional information or to update the CDI on the status of the policy. This form is also filled out by the employer and includes information about any changes to the policy or the employer's compliance with the Workers' Compensation laws.

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How to fill out California Audit Referral Form For Workers' Compensation?

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  1. Remember to attentively examine the form content and its correspondence with general and legal requirements by previewing it or reading its description.
  2. Look for another official template if the previously opened one doesn’t match your situation or state regulations (the tab for that is on the top page corner).
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California Audit Referral Form for Workers' Compensation
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