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

81 - 93 of 93 forms

Form Title Topics
Supplemental Application Form (SAF)
Supplemental Application Form (SAF)
Supplemental Questionnaire for Temporary Staffing Agencies
Temporary Staffing Client Notification Letter
Towing Supplemental Questionnaire
Trucking Industry No Subhauler Certification
Trucking Industry Workers' Compensation Questionnaire
Understanding the Notice of Temporary Staffing Client Notification Letter (Policy Endorsement 2035)
Withholding Exemption Certificate
Workers' Compensation Claim Form
Workers’ Compensation Claim Form
Your Guide to the Alternative Dispute Resolution System
Your Guide to Workers’ Compensation (English/Spanish)

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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