State Compensation Insurance Fund (SCIF)

Official Website: https://www.statefundca.com/?WT.svl=5

Established in 1914 by the state legislature, State Fund has operated for 100 years, is California’s largest provider of workers’ compensation insurance, and a vital asset to California businesses. State Fund supports California’s entrepreneurial spirit and plays a stabilizing role in the economy by providing fairly priced workers’ compensation insurance, making California workplaces safe, and restoring injured workers.

Forms & Documents

Browse all State Compensation Insurance Fund (SCIF) government forms

1 - 20 of 93 forms

Form Title Topics
Access Your Account - Agriculture
Access Your Account - General
Access Your Account - Restaurant
ACORD 130 (Non-Broker Accounts
Advantages of Being a State Fund Broker
Agriculture / Farming Supplemental Questionnaire
Audit Advisory
Automotive Services Supplemental Questionnaire
Benefits for Mid-Sized Businesses
California Assembly Bill No. 5 - Independent Contractors - 10213
Construction Supplemental Questionnaire
Corporate Officers and Directors Waiver of Workers’ Compensation Coverage
Coverage Questionnaire for Excluded Individuals
COVID-19 Positive Test Report
Dedicated Service Teams for Large Accounts
Electronic Funds Transfer Authorization Form
Employee’s Guide to State Fund MPN
Employee’s Guide to the State Fund MPN (English/Spanish)
Employer's First Report of Injury
Employer's First Report of Injury – CDCR

Contact Information & Office Locations

All 4 contact points

Agent for Service of Process

Address:
Corporate Legal
5880 Owens Drive
Pleasanton, CA 94588

Phone numbers:
  • (888) 782-8338
Hours of operation:
  • Monday–Friday 9:00 AM–5:00 PM

Certificates of Insurance

Address:
State Fund
P.O. Box 8192
Pleasanton, CA 94588

Phone numbers:
  • (888) 782-8338
Emails: Hours of operation:
  • State Fund office hours are Monday through Friday 7:30 AM-5:30 PM unless otherwise noted.

Lockbox Services

Address:
State Compensation Insurance Fund
Lbx Dept 107441
3440 Walnut Ave.
Bldg. A
Window H
Fremont, CA 94538

Phone numbers:
  • (888) 782-8338

Policy Bill/Invoice Payments And Payroll Reports

Address:
State Fund
P.O. Box 7441
San Francisco, CA 94120

Phone numbers:
  • (888) 782-8338

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