PDF
Word
Form A-4 Guaranty of Workers' Compensation Liabilities - California
What Is Form A-4?
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 A-4?
A: Form A-4 is a guaranty of workers' compensation liabilities in California.
Q: What is the purpose of Form A-4?
A: The purpose of Form A-4 is to guarantee the payment of workers' compensation liabilities by an employer.
Q: Who needs to fill out Form A-4?
A: Employers in California who are required to carry workers' compensation insurance need to fill out Form A-4.
Q: What information is required on Form A-4?
A: Form A-4 requires information such as the employer's name, address, and policy information.
Form Details:
- Released on January 1, 2016;
- 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 A-4 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations.
Download Form A-4 Guaranty of Workers' Compensation Liabilities - California
1
2
3
4
