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  • District Attorney Nasarenko
        • Erik Nasarenko
          District Attorney
        • Our Mission & Values

          Our Mission
          The mission of the Ventura County District Attorney’s Office is to promote justice and protect the people of the County of Ventura and the State of California by aggressively and fairly prosecuting those who violate the law.

          Our Values
          We employ individuals of character and courage who provide the highest quality legal representation for the public, steadfastly protect the rights of crime victims, and conscientiously seek to improve the criminal justice system and strengthen our community.

          Our Vision
          Our vision is to enhance the quality of life in our community, to be leaders in quality prosecution, to aggressively advocate the cause of justice and, above all, to make Ventura County a safer community for everyone.

        • Meet the Team

          Click Here to Meet our Team of District Attorneys
        • Pride in the Past...Faith in the Future

          Click Here to View Past District Attorneys
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  • Media Center
        • News Releases
          • April 22, 2021
            VENTURA, California – District Attorney Erik Nasarenko announced today that the prosecution of David Michelson ...
          • April 16, 2021
            VENTURA, California – District Attorney Erik Nasarenko announced today that Jason Armenta (DOB 03/06/01), of ...
          • April 16, 2021
            VENTURA, California – District Attorney Erik Nasarenko announced today that Kyle Davis (DOB 08/16/85), of ...
          • April 16, 2021
            VENTURA, California – District Attorney Erik Nasarenko announced today that on April 15, 2021, Sheila ...
          • April 16, 2021
            District Attorney Erik Nasarenko announced today that Tara Elaine Nykoluk (DOB 12/19/75), of Simi Valley, ...
        • Public Reports
          • February 12, 2021
            Report on the July 5, 2019, shooting of Joshua Ortiz ...
          • December 17, 2020
            Report on the November 7, 2018, Use of Deadly Force ...
          • October 2, 2020
            Report on the October 10, 2018, shooting of Michael Johnson ...
        • Notable Cases
          • 2013 People v. Kenneth Powell, Katie Rose, and Paul Lascola
            Three convicted and sentenced in real estate investment fraud scheme The ...
          • 2012 People v. Calvin Sharp
            Judge finds killer who used meat cleaver sane and sentences ...
          • 2011 People v. Ricardo Villa
            1993 murder case solved with aid of DNA—killer receives death ...
        • Publications
          • Legal Services pamphlet in other languages on the California State Bar website
          • California State Bar Pamphlet re Legal Services for Immigrants (English)
        • Term Reports
          • Ventura County District Attorney Term Report 2015-2018
          • Ventura County District Attorney Term Report 2011-2014
        • Alerts & Advisories
          • Real Estate Fraud Complaint Form – English
          • Real Estate Fraud Complaint Form – Spanish
        • Video Gallery
          • District Attorney Nasarenko’s Statement Regarding the Guilty Verdicts in the Trial of Derek Chauvin
            Statement of District Attorney Erik Nasarenko – ...
          • DA Nasarenko takes a stand against violence aimed at Asian American Pacific Islander Communities
        • Photo Album
  • Helping Victims
  • FAQs
  • Contact Us
Ventura County District Attorney
Ventura County District Attorney
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MENUMENU
  • District Attorney Nasarenko
        • Erik Nasarenko
          District Attorney
        • Our Mission & Values

          Our Mission
          The mission of the Ventura County District Attorney’s Office is to promote justice and protect the people of the County of Ventura and the State of California by aggressively and fairly prosecuting those who violate the law.

          Our Values
          We employ individuals of character and courage who provide the highest quality legal representation for the public, steadfastly protect the rights of crime victims, and conscientiously seek to improve the criminal justice system and strengthen our community.

          Our Vision
          Our vision is to enhance the quality of life in our community, to be leaders in quality prosecution, to aggressively advocate the cause of justice and, above all, to make Ventura County a safer community for everyone.

        • Meet the Team

          Click Here to Meet our Team of District Attorneys
        • Pride in the Past...Faith in the Future

          Click Here to View Past District Attorneys
  • Services & Information
        • Criminal Prosecutions
          • Gangs
          • General Felonies
          • Homicides
          • Narcotics
          • Public Integrity
          • Weapons Forfeiture
        • General Prosecutions
          • Auto Theft
          • Driving Under the Influence
          • Elder Abuse
          • Family Protection
          • Human Trafficking
          • Mentally Disordered Offenders
          • Misdemeanors
          • Sexual Assault
        • Special Prosecutions
          • Asset Forfeiture
          • Auto Insurance Fraud
          • Child Abduction Recovery
          • Code Enforcement
          • Computer Crimes
          • Consumer Fraud
          • Consumer Mediation
          • Environmental Crimes
          • Juvenile
          • Major Fraud
          • Non-Sufficient Funds Checks
          • Real Estate Fraud
          • Small Claims Advisor
          • Truancy Prevention
          • Workers’ Compensation Fraud
        • Bureau of Investigation
          • Child Abduction Recovery
          • Consumer and Environmental Protection
          • Consumer Fraud
          • Domestic Violence
          • Economic Crimes
          • Gangs
          • High Tech Task Force
          • Homicides
          • Major Fraud
          • Policies & Procedures
          • Public Assistance Fraud
          • Real Estate Fraud
          • Sexual Assault
          • Special Investigations
          • Workers’ Compensation Fraud
        • Justice Services
          • Conviction Integrity
          • Writs, Appeals and Training
        • Victim & Community Services
          • Crime Victims’ Assistance
          • Family Justice Center
          • Fiscal
          • Grants/Special Programs
          • Human Resources
          • Safe Harbor MDIC
          • Victim Services Volunteer Program
        • Policies and Procedures
          • Bureau of Investigation
  • Media Center
        • News Releases
          • April 22, 2021
            VENTURA, California – District Attorney Erik Nasarenko announced today that the prosecution of David Michelson ...
          • April 16, 2021
            VENTURA, California – District Attorney Erik Nasarenko announced today that Jason Armenta (DOB 03/06/01), of ...
          • April 16, 2021
            VENTURA, California – District Attorney Erik Nasarenko announced today that Kyle Davis (DOB 08/16/85), of ...
          • April 16, 2021
            VENTURA, California – District Attorney Erik Nasarenko announced today that on April 15, 2021, Sheila ...
          • April 16, 2021
            District Attorney Erik Nasarenko announced today that Tara Elaine Nykoluk (DOB 12/19/75), of Simi Valley, ...
        • Public Reports
          • February 12, 2021
            Report on the July 5, 2019, shooting of Joshua Ortiz ...
          • December 17, 2020
            Report on the November 7, 2018, Use of Deadly Force ...
          • October 2, 2020
            Report on the October 10, 2018, shooting of Michael Johnson ...
        • Notable Cases
          • 2013 People v. Kenneth Powell, Katie Rose, and Paul Lascola
            Three convicted and sentenced in real estate investment fraud scheme The ...
          • 2012 People v. Calvin Sharp
            Judge finds killer who used meat cleaver sane and sentences ...
          • 2011 People v. Ricardo Villa
            1993 murder case solved with aid of DNA—killer receives death ...
        • Publications
          • Legal Services pamphlet in other languages on the California State Bar website
          • California State Bar Pamphlet re Legal Services for Immigrants (English)
        • Term Reports
          • Ventura County District Attorney Term Report 2015-2018
          • Ventura County District Attorney Term Report 2011-2014
        • Alerts & Advisories
          • Real Estate Fraud Complaint Form – English
          • Real Estate Fraud Complaint Form – Spanish
        • Video Gallery
          • District Attorney Nasarenko’s Statement Regarding the Guilty Verdicts in the Trial of Derek Chauvin
            Statement of District Attorney Erik Nasarenko – ...
          • DA Nasarenko takes a stand against violence aimed at Asian American Pacific Islander Communities
        • Photo Album
  • Helping Victims
  • FAQs
  • Contact Us
Home Publications Archive for category "Workers Compensation Forms"
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Category: Workers Compensation Forms

Publications, Workers Compensation Forms

Workers’ Compensation Fraud Complaint Form – English

Workers Comp Fraud Complaint Form_English 1.2021 (fillable) Workers Comp Fraud Complaint Form_English 2.2021 (fillable) – Copy

Continue reading"Workers’ Compensation Fraud Complaint Form – English"
Publications, Workers Compensation Forms

Workers’ Compensation Fraud Complaint form – Spanish

Workers Comp Fraud Complaint Form_Spanish 1.2021 (fillable) Workers Comp Fraud Complaint Form_Spanish 2.2021 (fillable)

Continue reading"Workers’ Compensation Fraud Complaint form – Spanish"

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