Cal. Code Regs. tit. 8 § 9914

Current through Register 2024 Notice Reg. No. 41, October 11, 2024
Section 9914 - Reproduction of Form 510, Notice of Employee Death
(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.

Cal. Code Regs. Tit. 8, § 9914

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