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Form A4-50 Application for a Certificate of Consent to Administer Workers' Compensation Self Insurance Claims - California
What Is Form A4-50?
This is a legal form that was released by the California Department of Industrial Relations - 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 A4-50?
A: Form A4-50 is an application for a Certificate of Consent to Administer Workers' Compensation Self Insurance Claims in California.
Q: What is the purpose of Form A4-50?
A: The purpose of Form A4-50 is to apply for permission to administer workers' compensation self insurance claims.
Q: Who should use Form A4-50?
A: Form A4-50 should be used by those who want to administer workers' compensation self insurance claims in California.
Form Details:
- Released on August 1, 1996;
- The latest edition provided by the California Department of Industrial Relations;
- 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 fillable version of Form A4-50 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations.
Download Form A4-50 Application for a Certificate of Consent to Administer Workers' Compensation Self Insurance Claims - California
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