Wg 035 Form PDF Details

The Wg 035 form is a document used to report workplace injuries and incidents. This form is filled out by the employee who has been injured or affected by the incident, and it is used to provide information about the injury or incident. The Wg 035 form must be completed within eight days of the injury or incident, and it can be filed online or by mail. The information provided on this form can help ensure that employees are safe and receive the necessary treatment for their injuries.

QuestionAnswer
Form NameWg 035 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesca debtor social, statement security number get, wg 035 form, ca wg 035 confidential judgment

Form Preview Example

CONFIDENTIAL

WG-035

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

DATE RECEIVED BY COURT (Do not file in public court file.)

TELEPHONE NO.:

FAX NO.:

 

E-MAIL ADDRESS:

 

 

ATTORNEY FOR (Name):

 

 

 

 

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

 

:

 

 

STREET ADDRESS:

 

 

MAILING ADDRESS:

 

 

CITY AND ZIP CODE:

 

 

BRANCH NAME:

 

 

 

 

 

PLAINTIFF/PETITIONER:

 

COURT CASE NUMBER:

 

 

DEFENDANT/RESPONDENT:

 

 

 

 

CONFIDENTIAL STATEMENT OF JUDGMENT DEBTOR'S

LEVYING OFFICER FILE NUMBER:

 

SOCIAL SECURITY NUMBER

 

(Supplement to Wage Garnishment Forms

 

WG-001, WG-002, WG-004, WG-005, WG-009, WG-012, and WG-030)

 

 

 

 

 

(DO NOT ATTACH TO FORMS.)

 

This separate Confidential Statement of Judgment Debtor’s Social Security Number contains the Social Security number of the judgment debtor for whom an earnings withholding order is being sought or has issued in the case referenced above. This supplement must be kept separate from any applications or orders filed in this case, and should not be a public record.

INFORMATION ON JUDGMENT DEBTOR:

1.Name:

2.Social Security Number:

TO COURT CLERK

THIS STATEMENT IS CONFIDENTIAL.

DO NOT FILE THIS CONFIDENTIAL STATEMENT IN A PUBLIC COURT FILE.

Page 1 of 1

Form Adopted for Mandatory Use

CONFIDENTIAL STATEMENT OF JUDGMENT DEBTOR'S

www.courts.ca.gov

Judicial Council of California

 

WG-035 [New January 1, 2012]

SOCIAL SECURITY NUMBER

 

 

 

 

Wage Garnishment

 

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