Form PERS-BSD-92 Workers' Compensation Carrier Request - California

Form PERS-BSD-92 Workers' Compensation Carrier Request - California

What Is Form PERS-BSD-92?

This is a legal form that was released by the California Public Employees' Retirement System - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form PERS-BSD-92?
A: Form PERS-BSD-92 is a Workers' Compensation Carrier Request form used in California.

Q: Who uses Form PERS-BSD-92?
A: This form is used by workers' compensation carriers in California.

Q: What is the purpose of Form PERS-BSD-92?
A: The purpose of this form is to request information from the California Public Employees' Retirement System (CalPERS) regarding workers' compensation claims and benefits.

Q: Do I need to fill out Form PERS-BSD-92?
A: You only need to fill out this form if you are a workers' compensation carrier requesting information from CalPERS.

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Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the California Public Employees' Retirement System;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form PERS-BSD-92 by clicking the link below or browse more documents and templates provided by the California Public Employees' Retirement System.

Download Form PERS-BSD-92 Workers' Compensation Carrier Request - California

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