Form S-3 Corporate Resolution {S-3}

Form S-3 - CORPORATE RESOLUTION AUTHORIZING APPLICATION TO THE DIRECTOR OF INDUSTRIAL RELATIONS, STATE OF CALIFORNIA FOR A CERTIFICATE OF CONSENT TO SELF-INSURE WORKERS’ COMPENSATION LIABILITIES. This form is used by corporations applying to self-insure workers’ compensation liabilities in California as a self-insured group or related entity. Issued by the California Department of Industrial Relations, this form documents a resolution adopted by the corporation’s board of directors authorizing the company to apply for a Certificate of Consent to Self-Insure. The resolution confirms that the board has approved the application and empowers any authorized corporate officer to execute and submit all required documents on the corporation’s behalf. A certification section completed by the corporate secretary verifies that the resolution was properly adopted and remains in effect. www.FormsWorkflow.com