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State Fund General Supplemental Questionnaire

The State Compensation Insurance Fund's General Supplemental Questionnaire is a general supplement to your application for a workers' compensation insurance policy.

HealthcareState Fund General Supplemental Questionnaire
State Fund General Supplemental QuestionnaireHealthcareState Fund General Supplemental Questionnaire
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Edit the JSON below to fill in the State Fund General Supplemental Questionnaire formEdit the JSON below to fill in the State Fund General Supplemental Questionnaire form and download the completed PDF.

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What is the State Fund General Supplemental Questionnaire?

The State Compensation Insurance Fund's General Supplemental Questionnaire is a general supplement to an application for a workers' compensation insurance policy from the State Compensation Insurance Fund of California.