Section 5401.7 Of Chapter 2. Limitations Of Proceedings From California Labor Code >> Division 4. >> Part 4. >> Chapter 2.
5401.7
. The claim form shall contain, prominently stated, the
following statement:
"Any person who makes or causes to be made any knowingly false or
fraudulent material statement or material representation for the
purpose of obtaining or denying workers' compensation benefits or
payments is guilty of a felony."
The statements required to be printed or displayed pursuant to
Sections 1871.2 and 1879.2 of the Insurance Code may, but are not
required to, appear on the claim form.