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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your file number in the designated space at the top of the form. This is crucial for tracking your submission.
  3. Indicate whether you have employees residing in California by checking either box A or B. If you select box A, remember to attach a written explanation regarding your operations without employees.
  4. If you check box B, ensure that you contact your insurance company to obtain the required certificate of coverage and have it mailed to the Commission.
  5. Complete the certification section by signing and dating the form. Ensure all signatures are from authorized individuals, including a corporate officer if applicable.

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Feb 11, 2025 Add a New Group or Activity: Fill out the form below, and your listing will appear instantly. Edit an Existing Page: If a page already exists,Read more

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