Get a Form or Publication: applicant

Your search for "applicant" returned 11 documents.

Title Type Number
Construction Contractor's Application for Workers' Compensation Account with No Workers or Hours

Used by employers with no employees or worker hours to report but need an open account for contract bidding process.

Form F625-077-000
Applicatiion for Accreditation Cranes/Derrick and other Material Handling Devices

This form is for an applicant to complete for Maritime or Construction Accreditation.

Form F416-063-000
Application for Self-Insurance Certification

Used by employers to apply for self-insurance certification.

Form F207-001-000
Apprenticeship Applicant Register

Example: Used for tracking applicants for an apprenticeship program. Registered Apprenticeship Programs use their own forms.

Form F100-045-000
Charter Vessel Inspection

Two part form used for the applicant to complete a Certification of Inspection of a charter boat and the second part is used for the Maritime Specialist to perform the inspection of the charter boat.

Form F416-058-000
Claim for Pension by Spouse or Children
Also available in: Spanish

Used by a spouse or dependents of a deceased worker. The workers' fatal accident or occupational disease incurred in the course of their employment. This application is needed to determine if applicant(s) is/are entitled to a survivor benefit.

Form F242-056-000
Claim for Pension by Spouse or Children - Spanish Reclamo para Pensión de Esposo(a) o Los Niños
Also available in: English

Used by a spouse or dependents of a deceased worker. The workers' fatal accident or occupational disease incurred in the course of their employment. This application is needed to determine if applicant(s) is/are entitled to a survivor benefit.

Form F242-056-999
NOTICE - Your Right to Register Equal Employment Opportunity (EEO) Complaints

This notice is to be posted by Apprenticeship Programs in plain view to inform apprentices or apprenticeship applicants of who to contact in regards to EEO Complaints.

Form F100-517-000
Physical Exam - Charter Boat Operators License

This form is used by applicants applying for a charter boat operators license to have completed by a physician for an operators license

Form F416-056-000
Safety and Health Investment Projects (SHIP) Grant Program

Pamphlet/booklet: Introduces the SHIP Grant Program and application process. Eligible grants will aim to prevent injuries and illnesses, save lives, and educate workers and employers about workplace hazards and safe workplace practices. Proposals submitted by applicants

Publication F417-224-000
Vocational Technical Stakeholder Group (VTSG) Application

This form is for recruiting private sector vocational counselors to be on the Vocational Technical Stakeholder Group (VTSG). The form is made available on the department’s vocational website when recruiting for new members to assist the department in addressing vocational issues and formulating policy. Prospective applicants are expected to download, sign, and return the form to PSRS for consideration.

Form F280-049-000



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