The claim form shall contain, prominently stated, the following statement:

“Any person who makes or causes to be made any knowingly false or fraudulent material statement or material representation for the purpose of obtaining or denying workers’ compensation benefits or payments is guilty of a felony.”

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Terms Used In California Labor Code 5401.7

  • Person: means any person, association, organization, partnership, business trust, limited liability company, or corporation. See California Labor Code 18

The statements required to be printed or displayed pursuant to § 1871.2 of the Insurance Code may, but are not required to, appear on the claim form.

(Amended by Stats. 2022, Ch. 424, Sec. 30. (SB 1242) Effective January 1, 2023.)