California Code of Regulations › Title 8 - Industrial Relations › Division 1 - Department of Industrial Relations › Chapter 4.5 - Division of Workers' Compensation › Subchapter 1 - Administrative Director-Administrative Rules › Article 8.1 - Workers' Compensation Advertising by Non-Attorneys and Non-Physicians; Prohibition of False or Misleading Advertising › Section 9831 - Registration Statement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Every advertiser shall prepare, retain, and make
						available to the administrative director upon request a written registration
						statement. The information in the statement shall be verified by a declaration
						under penalty of perjury signed by the advertiser (if an individual), or by
						each owner of the advertiser (if a business entity). Whenever a material change
						occurs in the information in the statement, the advertiser shall within 10 days
						of the change revise the statement.
The statement shall contain the following
						information:
(a) The full legal name
					 of the advertiser, and any other name(s) under which the person will advertise
					 or do business.
(b) The
					 advertiser's business form and place of organization; if the advertiser is a
					 corporation, a copy of its articles of incorporation and bylaws and any
					 amendments to them; if the advertiser is a partnership, a copy of the
					 partnership agreement and any amendments to it; if the advertiser is an
					 unincorporated organization a copy of its written organizational documents and
					 any amendments to them; if the advertiser has filed or uses a fictitious
					 business name, a copy of each fictitious business name statement showing the
					 place(s) of filing.
(c) The
					 complete street address or addresses of all locations at which the advertiser
					 does or proposes to do business, and a designation of one such location in
					 California as its principal place of business in the state.
(d) A listing of all telephone numbers to be
					 used by the advertiser and the address where each telephone using each of these
					 telephone numbers is located.
(e)
					 The name of, and the office held by, the advertiser's officers, directors,
					 trustees, general and limited partners, sole proprietor, and owners, as the
					 case may be, and the names of those persons who have management
					 responsibilities in connection with the advertiser's business
					 activities.
(f) For each person
					 whose name is disclosed under subdivision (e): the complete address of his
					 principal residence; his driver's license number and state of issuance; and the
					 number, licensing agency, and status of each professional license (s)he
					 holds.
(g) A statement identifying
					 any person disclosed under subdivision (e) who:
(1) has been convicted of or has pleaded
					 guilty or no contest to a felony or misdemeanor violation of any offense
					 related to workers' compensation, or of fraud, theft, embezzlement, fraudulent
					 conversion, or misappropriation of property; or
(2) is or has been the subject of any civil
					 or administrative action alleging acts in violation of any workers'
					 compensation law, or of fraud, theft, embezzlement, fraudulent conversion, or
					 misappropriation of property, or of the use of unfair, unlawful, or deceptive
					 business practices.
The statement shall identify the person, court or
						administrative agency in which the case was filed, the case number, title of
						the case, and the result of the case.