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Form A-1 Application for Certificate of Consent to Self-insure as a Private Employer Self-insurer - California
What Is Form A-1?
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-1?
A: Form A-1 is the Application for Certificate of Consent to Self-insure as a Private Employer Self-insurer in California.
Q: Who needs to file Form A-1?
A: Private employers in California who wish to self-insure must file Form A-1.
Q: What is the purpose of Form A-1?
A: The purpose of Form A-1 is to apply for a certificate of consent to self-insure as a private employer self-insurer.
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-1 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations.
Download Form A-1 Application for Certificate of Consent to Self-insure as a Private Employer Self-insurer - California
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