California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1 - Administrative Director-Administrative Rules
Article 10 - Employee Death, Notice of
Section 9914 - Reproduction of Form 510, Notice of Employee Death

Universal Citation: 8 CA Code of Regs 9914

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) Employers and insurers may reproduce DIA Form 510, in which the heading may be rearranged to permit printing of:

(1) The insurance carrier's or employer's name, address and telephone number.

(2) Instructions for forwarding the form and number of copies required.

(b) The spacing, arrangement, sequence or language shall not otherwise be altered.

1. Amendment filed 7-11-73 as an emergency; effective upon filing. Certificate of Compliance included (Register 73, No. 28).

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