Form S-6 Agreement And Undertaking For Security Deposit {S-6}

Form: S-6 - AGREEMENT AND UNDERTAKING FOR SECURITY DEPOSIT. This form is used by self-insured groups applying for or maintaining workers’ compensation self-insurance in California. Issued by the California Department of Industrial Relations, Office of Self-Insurance Plans, this form documents the group’s agreement to post and maintain a security deposit as required under Labor Code sections 3700–3705. By executing this agreement, the self-insured group undertakes to provide security to guarantee payment of workers’ compensation liabilities incurred in California. The form explains how the security deposit is held in trust by the state, the Director of Industrial Relations’ authority over the deposit, and the group’s ongoing obligations. www.FormsWorkflow.com