Skip to content
  • About Us
  • Services
    • Risk Control Services
    • Contract Insurance Review
  • Coverage Programs
    • General Liability
    • Workers Compensation
    • Special Events
    • Hazardous Special Events
    • Public Documents
  • Agendas & Minutes
  • Contact Us
  • Services
    • Services
    • Contract Insurance Review
    • Risk Control Services
  • Coverage Programs
    • Coverage Programs
    • General Liability
    • Hazardous Special Events
    • Special Events
    • Workers Compensation
  • Agendas & Minutes
  • News
  • About Us
    • About Us
    • Contact Us
  • Sign In

Public Documents

General Liability

GL Incident Report Form 2022

GL Release and Waiver of Liability rev December 2019 – English

GL Release and Waiver of Liability rev December 2019 – Spanish

Workers’ Compensation

WC Supervisor Report

WC Form 5020 Report of Injury or Illness

WC DWC1 Claim Form

Special Events

SE Memorandum of Coverage Effective 10-1-25

SE Application, Evidence of Coverage and Acknowledgement Form rev 10-2025

© 2015-2023 California Fair Services Authority. All rights reserved.

Government Compensation Report State Controller’s Office

(916) 921-2213 | Privacy Policy