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408-286-1111 ext 106
408-997-7890
CA Lic#
0697055
What to do when there is a Workers Compensation claim?
Workers Compensation policy with Farmers Insurance:
  1. If it is an emergency, sent the injured employee for treatment right away.
  2. Call Farmersí Workers Compensation claim department at 925-847-3141 to report the claim.
  3. Have the injured employee and store manager to fill up these 2 claim forms (Form 1 and Form 2), keep a filled-up copy, and fax it to Farmers Insurance at 925-416-0948.
Workers Compensation policy with California State Compensation Insurance Fund:
  1. If it is an emergency, sent the injured employee for treatment right away.
  2. Call State Fund Workers Compensation claim department at 888-222-3211 to report the claim.
  3. Have the injured employee and store manager to fill up these 2 claim forms (Form 1 and Form 2), keep a filled-up copy, and fax it to State Fund at 800-371-5905.
Workers Compensation policy with other insurance company through Zain Jeewanjee Insurance Agency.

Call us at 408-323-9980 and we will further assist you.



 
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California Lic # 0697055
1494 Hamilton Ave #101, San Jose, CA 95125