This version of the form is not currently in use and is provided for reference only. Download this version of Form I&A21 for the current year.
This is a legal form that was released by the California Department of Industrial Relations - Division of Workers' Compensation - 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 I&A21?
A: Form I&A21 is the Information & Assistance Unit Guide. It provides guidance on various topics, including how to file a petition for penalties in California.
Q: What is the Information & Assistance Unit (I&A)?
A: The Information & Assistance Unit (I&A) provides helpful resources and guidance to individuals who have questions or need assistance with their workers' compensation claims in California.
Q: What is a petition for penalties?
A: A petition for penalties is a formal request to penalize an employer or insurance company for violating workers' compensation laws in California.
Q: Why would I file a petition for penalties?
A: You may file a petition for penalties if you believe that an employer or insurance company has violated workers' compensation laws and you want them to face penalties.
Q: How do I file a petition for penalties in California?
A: To file a petition for penalties in California, you need to fill out and submit Form I&A21, which is the Information & Assistance Unit Guide. The guide provides step-by-step instructions on how to complete the form.
Form Details:
Download a printable version of Form I&A21 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.