Form S-2B Application for Affiliate Certificate of Consent to Self-insure as a Member of a Group Self-insurer - California

Form S-2B Application for Affiliate Certificate of Consent to Self-insure as a Member of a Group Self-insurer - California

What Is Form S-2B?

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 S-2B?
A: Form S-2B is an application for an Affiliate Certificate of Consent to Self-insure as a Member of a Group Self-insurer in California.

Q: Who needs to fill out form S-2B?
A: Form S-2B needs to be filled out by individuals or organizations seeking to obtain an Affiliate Certificate of Consent to Self-insure as a Member of a Group Self-insurer in California.

Q: What is the purpose of form S-2B?
A: The purpose of form S-2B is to allow an individual or organization to apply for an Affiliate Certificate of Consent to self-insure as a member of a Group Self-insurer in California.

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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 S-2B by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations.

Download Form S-2B Application for Affiliate Certificate of Consent to Self-insure as a Member of a Group Self-insurer - California

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