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W-4 Form 2023 for Santa Clara California: What You Should Know

For more information, you may contact the Wage Enforcement Division at. For more information, see Minimum Wage Ordinance, Part 4. Worker's Compensation Insurance Policy To apply for and to renew your workers' compensation insurance (PCI) policy in the City of Santa Clara, you must: 路 Complete the application, and either: (1) submit payment for the previous year's premium or (2) present a current PCI insurance statement for the previous year. 路 The PCI insurance policy must be renewed by the insurer in order to be effective. The renewal application must be submitted at least 2 months before the effective date of the policy. 路 Applicants renewing the policy for the first time or renewing the PCI policy, for purposes of the renewal cycle listed below, are required to include information in the application. 路 Applicants renewing their PCI insurance policies for the first time will be requested to submit proof of coverage as follows (for the calendar year 2018): o PCI policy is in effect and claims have been made and payment made to the policyholder. O PCI policy is in effect for at least two years without interruption and claims have been made to the company for less than 1,150. 路 Applicants renewing their PCI insurance policies for the first time or renewing the PCI policy for the first time for purposes of the renewal cycle listed below, will be required to provide the following information within 2 months of the effective date of their policy, at the time of renewal; 路 If the PCI policyholder did not pay the premium due for the coverage for any year in the calendar year of renewal, the policy is fully effective. 路 The policyholder has filed a claim on the PCI insurance policy for less than 500.00 with the policyholder's insurer. 路 The claim has been confirmed by the insurer. 路 The policy expires or is renewed on or after January 1 of the calendar year of renewal. 路 A refundable policy fee is not applicable to the first-time applicants. 路 Applicants renewing the policy on or after January 1, 2018, must provide proof of insurance as follows: o The new policy is in effect and claims have been made. 路 The PCI policyholder has filed a claim on the PCI insurance policy for less than 2,000.

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