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Documents & Forms

Access our library of state-specific and general documents including state posting notices, audit information, claim documents and more.

REQUIRED

State Posting Notices

Employers are required to post and maintain state notices in a conspicuous place. Simply select your state, print and post in your workplace.


Policy

 

Cancellation Request

Complete and return this form to [email protected].

 

Audit Dispute

 

Loss Runs

text

8720C Dispute

Complete this form for each applicable worker and return to [email protected].

Claims

 

Medical Record Release

 

Temporary Pharmacy Card

 

Wage Chart & Instructions

 

Job Description

California

 

CA Dual Wage Classification

 

Officer Waiver

 

CCPA Personal Information Collection Notice

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