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State Fund is the largest provider of workers’ compensation insurance in California. State Fund plays a stabilizing role in California’s economy by maintaining an open door policy, ensuring all employers have a strong and stable option for their workers’ compensation needs.
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Forms

State Fund helps California businesses maintain compliance with legally-mandated forms and brochures by providing easily downloadable and printable documents online. We offer an extensive library of bilingual mandated and informational forms to protect businesses and employees.

Mandated forms

State regulations mandate employers to provide certain information to their employees. Employers are required to distribute the information to workers in the following instances.

Distribute this brochure to existing employees prior to implementation of the approved MPN. Also, provide to each new employee at the time of hire and to each injured employee at the time of injury:

Provide this brochure to each new employee at the time of hire:

Post this notice immediately, in both English and Spanish, after writing the name of the MPN physician on both versions. Keep the notices posted in a conspicuous location at all times:

Downloadable forms and informational materials
Click on a section to the left to find a form. In each section, you’ll find a list of useful downloadable forms, as well informational materials on your workers’ compensation insurance.

State Fund policyholders may obtain print versions of these materials by contacting the Customer Service Center.

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