This version of the form is not currently in use and is provided for reference only. Download this version of Form J-1 for the current year.
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 J-1?
A: Form J-1 is the Joint Powers Authority (JPA) Self-Insurer's Profile and Financial Summary Report.
Q: Who needs to file Form J-1?
A: Self-insurers in California who operate under a Joint Powers Authority (JPA) need to file Form J-1.
Q: What information is required in Form J-1?
A: Form J-1 requires the self-insurer to provide a profile of their organization, including financial information.
Q: What is the purpose of Form J-1?
A: The purpose of Form J-1 is to provide the California Department of Industrial Relations with information about self-insurers under a Joint Powers Authority (JPA).
Q: When is Form J-1 due?
A: Form J-1 is due annually by March 1st.
Q: What happens if I don't file Form J-1?
A: Failure to file Form J-1 can result in penalties and may affect the self-insurer's ability to continue operating under a Joint Powers Authority (JPA).
Form Details:
Download a fillable version of Form J-1 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations.