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DLSE Form BOFE1 Report of Labor Law Violation - California
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DLSE WCA Form 1 Initial Report or Claim - California
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DLSE WCA Form 1 Initial Report or Claim - California (Chinese)
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DLSE WCA Form 1 Initial Report or Claim - California
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Formulario BOFE1 Informe De Violacion De La Ley Laboral - California (Spanish)
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DLSE WCA Form 1 Initial Report or Claim - California (Korean)
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Form AR-2 Private Self-insurer's Annual Report - California, 2023
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Form J-1 Joint Powers Authority (Jpa) Self-insurer's Profile and Financial Summary Report - California
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Form P-1 Self-insurer's Profile and Financial Summary Report - California
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Form I&A4 Information & Assistance Unit Guide - How to File an Application for Adjudication of Claim - California
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Form I&A6 Information & Assistance Unit Guide - How to Request an Expedited Hearing - California
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Form I&A5 Information & Assistance Unit Guide - How to File a Declaration of Readiness to Proceed - California
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Form EPA-1 Equal Pay Act Complaint - California
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Form AR-1 Private Self-insurer's Annual Report - California, 2022
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Form A-5 Corporate Resolution Authorizing Application to the Director of Industrial Relations, State of California for a Certificate of Consent to Self-insure Workers' Compensation Liabilities - California
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Form A-6 Agreement and Undertaking for Security Deposit - California
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Form A-4 Guaranty of Workers' Compensation Liabilities - California
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Form S-3 Corporate Resolution Authorizing Application to the Director of Industrial Relations, State of California for a Certificate of Consent to Self-insure Workers' Compensation Liabilities - California
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Form S-6 Agreement and Undertaking for Security Deposit - California
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Form A-1 Application for Certificate of Consent to Self-insure as a Private Employer Self-insurer - California
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Form A-2 Application for Certificate of Consent to Self-insure as a Public Agency Employer Self-insurer - California
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Form S-1 Group Master Application for Certificate of Consent to Self-insure as a Group Self-insurer - California
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Form S-4 Indemnity Agreement and Power of Attorney - California
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Form S-5 Agreement of Assumption and Guarantee of Workers' Compensation Liabilities for Group and Affiliate Members - California
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Form I&A1 Information & Assistance Unit Guide - How to File a Workers' Compensation Claim Form - California
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Form RCI1 Retaliation Complaint - California
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Formulario RCI1 Queja Sobre Represalias - California (Spanish)
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Formulario DLSE-PW1 Reclamo De Trabajadores De Obras Publicas - California (Spanish)
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Form DLSE-PW1 Public Works - Worker Complaint - California
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DLSE Form 1 Initial Report or Claim - California (Tagalog)
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DLSE Form 1 Initial Report or Claim - California
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Form DLSE8 Payday Notice - California
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Form J-1 Joint Powers Authority (Jpa) Self-insurer's Profile and Financial Summary Report - California
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Form I&A19 Information & Assistance Unit Guide - How to File a Petition Appealing Administrative Director's Independent Medical Review Determination - California
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Form I&A12 Information & Assistance Unit Guide - How to File a Petition for Reconsideration - California
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Form I&A21 Information & Assistance Unit Guide - How to File a Petition for Penalties - California
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Form I&A10 Information & Assistance Unit Guide - How to File a Lien - California
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Form I&A13 Information & Assistance Unit Guide - How to File an Appeal of the Administrative Director - California
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Form DAS4A Division of Apprenticeship Standards Complaint Form - California
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