Form PR-LIC-120 Worker's Compensation Insurance Verification - California

What Is Form PR-LIC-120?

This is a legal form that was released by the California Department of Pesticide Regulation - 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 a PR-LIC-120 form?
A: The PR-LIC-120 form is a Worker's Compensation Insurance Verification form used in California.

Q: Who needs to complete the PR-LIC-120 form?
A: Employers in California who have employees must complete the PR-LIC-120 form.

Q: What is the purpose of the PR-LIC-120 form?
A: The PR-LIC-120 form is used to verify that an employer has valid worker's compensation insurance.

Q: Is the PR-LIC-120 form required by law?
A: Yes, employers in California are required by law to complete and submit the PR-LIC-120 form.

Q: What happens if an employer fails to complete the PR-LIC-120 form?
A: Failure to complete the PR-LIC-120 form may result in penalties and fines for the employer.

Q: Are there any exemptions to submitting the PR-LIC-120 form?
A: Certain types of businesses and self-employed individuals may be exempt from submitting the PR-LIC-120 form. It is best to check with the California Department of Industrial Relations for specific exemptions.

Q: When should the PR-LIC-120 form be submitted?
A: The PR-LIC-120 form should be submitted within 30 days of receiving a written request from the California Department of Industrial Relations.

Q: What information is required on the PR-LIC-120 form?
A: The PR-LIC-120 form requires information such as the employer's name, address, policy number, insurance provider, and effective dates of coverage.