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Printable Form 5020 Roseville California: What You Should Know

In the event you have any questions, please contact the BHC or the Department of Industrial Relations (FOR) by telephone at or, Monday – Friday between 7 a.m. — 4 p.m. PT California Civil Code, Section 895.3(d) (1) A person who knowingly, and without authority,  falsely states, or who willfully and unlawfully makes a material misstatement in a report on or application for Social Security Disability Insurance shall be liable in an action against him or her in the name of the state. BHC or Department of Industrial Relations or (800) 777–1101, Monday – Friday between 7:00 a.m. — 4:30 p.m. PT California Civil Code, Section 895.3(e) (1) A person who knowingly and willfully makes a material false statement in an application for and receipt of disability benefits or wages under or pursuant to this article or law shall be liable for all penalties imposed under this article to the extent such false statement causes the denial of payment of benefits or wage under this article to any person who, but for such false statement, would have received a benefit or wages pursuant to this article.

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