§ 14005. Reproduction of the Employer's Report.
8 CA ADC § 14005Barclays Official California Code of Regulations
8 CCR § 14005
§ 14005. Reproduction of the Employer's Report.
(D) Confidential information may be disclosed to the employee, former employee, or their personal representative (8 CCR 14300.35), to others for the purpose of processing a workers' compensation or other insurance claim; and under certain circumstances to a public health or law enforcement agency or to a consultant hired by the employer (8 CCR 14300.30). 8 CCR 14300.40 requires provision upon request to certain state and federal workplace safety agencies.
(3) The notice block, coding column in the right hand margin, subheadings, spacing, numbering, arrangement, sequence and text of Questions 1 through 39 shall not be altered. However, self-insured employers may eliminate Questions 1A, 2A, 3A, and 37b from reproduced forms and utilize the space to collect other information.
Except as otherwise specified in this Section, any other modification to the content or layout of Form 5020, Rev. 7 may be made only with prior approval of a written request to:
DEPARTMENT OF INDUSTRIAL RELATIONS
CHIEF, DIVISION OF LABOR STATISTICS AND RESEARCH
P. O. BOX 420603
SAN FRANCISCO, CA 94142-0603
(c) The size of the header block may be altered to gain space for additional questions, which may be included at the bottom of the form, following Question 39, provided the proposed form has been reviewed and approved by the Division. The reverse of the form may be used for additional information or questions.
Credits
Note: Authority cited: Sections 6410 and 6410.5, Labor Code. Reference: Sections 5401.7, 6409.1(a) and 6410, Labor Code.
History
1. New section filed 2-8-80; designated effective 5-1-80 (Register 80, No. 6).
2. Amendment of subsections (a) and (c) filed 1-13-83; effective thirtieth day thereafter (Register 83, No. 3).
3. Amendment filed 3-18-87; effective thirtieth day thereafter (Register 87, No. 12).
4. Amendment of subsection (a) filed 6-14-89; operative 7-14-89 (Register 89, No. 25).
5. Amendment of section and Note filed 1-14-93; operative 2-16-93 (Register 93, No. 3).
6. Amendment filed 9-19-2002; operative 10-19-2002 (Register 2002, No. 38).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 8, § 14005, 8 CA ADC § 14005
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