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.
Q: What is Form A-3B?
A: Form A-3B is an application for a Permanent Certificate of Consent to Self-insure for Interim Self-insurer in California.
Q: Who can use Form A-3B?
A: Form A-3B can be used by interim self-insurers who wish to apply for a permanent certificate of consent to self-insure in California.
Q: What is the purpose of Form A-3B?
A: The purpose of Form A-3B is to apply for a permanent certificate of consent to self-insure for interim self-insurer in California.
Q: What information is required in Form A-3B?
A: Form A-3B requires information such as the applicant's name, contact information, financial statements, and other relevant details.
Q: What happens after submitting Form A-3B?
A: After submitting Form A-3B, the California Department of Industrial Relations (DIR) will review the application and notify the applicant of their decision.
Q: Is there a deadline for submitting Form A-3B?
A: There is no specific deadline mentioned for submitting Form A-3B. However, it is recommended to submit the form in a timely manner to avoid any delays in processing.
Q: Are there any additional requirements for self-insurers in California?
A: Yes, there are additional requirements for self-insurers in California, such as maintaining adequate security deposits and providing annual financial statements.
Form Details:
Download a fillable version of Form A-3B by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations.