"Verified Statement" means a written form sent by the Workers' Compensation Appeals Board to an employer upon which such employer is directed to indicate (under penalty of perjury) the number of employees in his employ on the date of injury and submit this statement to the Division.
Cal. Code Regs. Tit. 8, § 15561
Note: Authority cited: Sections 55 and 3710, Labor Code. Reference: Sections 3700, 3710, 3710.1, 3710.2, 3711, 3712, 3713, 3714, 3718, 3722, 3723, 3725, 3726 and 3727, Labor Code.