This version of the form is not currently in use and is provided for reference only. Download this version of Form I&A21 for the current year.

Form I&A21 Information & Assistance Unit Guide - How to File a Petition for Penalties - California

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What Is Form I&A21?

This is a legal form that was released by the California Department of Industrial Relations - Division of Workers' Compensation - 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 I&A21?A: Form I&A21 is the Information & Assistance Unit Guide. It provides guidance on various topics, including how to file a petition for penalties in California.

Q: What is the Information & Assistance Unit (I&A)?A: The Information & Assistance Unit (I&A) provides helpful resources and guidance to individuals who have questions or need assistance with their workers' compensation claims in California.

Q: What is a petition for penalties?A: A petition for penalties is a formal request to penalize an employer or insurance company for violating workers' compensation laws in California.

Q: Why would I file a petition for penalties?A: You may file a petition for penalties if you believe that an employer or insurance company has violated workers' compensation laws and you want them to face penalties.

Q: How do I file a petition for penalties in California?A: To file a petition for penalties in California, you need to fill out and submit Form I&A21, which is the Information & Assistance Unit Guide. The guide provides step-by-step instructions on how to complete the form.

Form Details:

Released on June 1, 2018;
The latest edition provided by the California Department of Industrial Relations - Division of Workers' Compensation;
Easy to use and ready to print;
Quick to customize;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a printable version of Form I&A21 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.