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        • Erik Nasarenko
          District Attorney
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          victims are protected, and our communities are served with fairness and integrity.

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        • News Releases
          • January 31, 2023
            District Attorney Erik Nasarenko announced that charges have been filed against Aristeo Rivera Ramos (DOB ...
          • January 27, 2023
            Ventura County law enforcement leaders issue statement regarding death of Tyre Nichols in Memphis, Tennessee.
          • January 23, 2023
            On Monday, January 23, Congresswoman Julia Brownley presented a check for $640,000 to the County ...
          • January 19, 2023
            District Attorney Erik Nasarenko announced today that several members of an international theft group entered ...
          • January 17, 2023
            District Attorney Erik Nasarenko announced today that Rotherie Durell Foster (DOB 11/03/85), of Camarillo, has ...
        • Public Reports
          • December 9, 2021
            Report on the November 5, 2020 Shooting of Javier Magaña ...
          • 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 ...
        • Notable Cases
          • Lemon Packing Facility Settles Case for Unlawful Release of Air Contaminant
            On February 8, 2019, a malfunction of fruit washing equipment ...
          • Fisherman Settles Case Involving Diesel Spill at Ventura Harbor
            On June 2, 2018, the Ventura Harbor District (VHD) was ...
          • Settlement Reached in Fuel Spill at Camarillo Airport
            On February 19, 2019, a Sun Air employee was filling ...
        • Publications
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          • Foreclosure & Loan Modification – English
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        • Video Gallery
          • Ventura County District Attorney and Sheriff Joint Press Conference January 18, 2023
          • Family Justice Center Restraining Order Workshop
          • Centro de Justicia Familiar – Taller de órdenes de restricción contra la Violencia Doméstica
          • Murder Charge Filed in Death of Simi Valley Resident Rachel Castillo
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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
          We are committed to public safety, the pursuit of truth and justice, to ensuring
          victims are protected, and our communities are served with fairness and integrity.

        • Meet the Team

          Click Here to Meet our Team of District Attorneys
        • Organizational Chart

          Click Here to View the Organizational Chart
        • 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
          • Misdemeanors
          • Sexual Assault
          • Sexually Violent Predators
        • Special Prosecutions
          • Asset Forfeiture
          • Auto Insurance Fraud
          • Child Abduction Recovery
          • Code Enforcement
          • Computer Crimes
          • Consumer Fraud
          • Consumer Mediation
          • Environmental Crimes
          • Juvenile
          • Major Fraud
          • 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
          • Public Assistance Fraud
          • Real Estate Fraud
          • Sexual Assault
          • Special Investigations
          • Workers’ Compensation Fraud
        • Justice Services
          • Conviction Integrity
          • Mental Health
          • 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
          • Military Equipment
  • Media Center
        • News Releases
          • January 31, 2023
            District Attorney Erik Nasarenko announced that charges have been filed against Aristeo Rivera Ramos (DOB ...
          • January 27, 2023
            Ventura County law enforcement leaders issue statement regarding death of Tyre Nichols in Memphis, Tennessee.
          • January 23, 2023
            On Monday, January 23, Congresswoman Julia Brownley presented a check for $640,000 to the County ...
          • January 19, 2023
            District Attorney Erik Nasarenko announced today that several members of an international theft group entered ...
          • January 17, 2023
            District Attorney Erik Nasarenko announced today that Rotherie Durell Foster (DOB 11/03/85), of Camarillo, has ...
        • Public Reports
          • December 9, 2021
            Report on the November 5, 2020 Shooting of Javier Magaña ...
          • 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 ...
        • Notable Cases
          • Lemon Packing Facility Settles Case for Unlawful Release of Air Contaminant
            On February 8, 2019, a malfunction of fruit washing equipment ...
          • Fisherman Settles Case Involving Diesel Spill at Ventura Harbor
            On June 2, 2018, the Ventura Harbor District (VHD) was ...
          • Settlement Reached in Fuel Spill at Camarillo Airport
            On February 19, 2019, a Sun Air employee was filling ...
        • Publications
          • Child Abduction Recovery Unit Brochure
          • Family Justice Center Biennial Report 2022
        • Term Reports
          • Family Justice Center Biennial Report 2022
          • Ventura County District Attorney Term Report 2015-2018
        • Alerts & Advisories
          • Foreclosure & Loan Modification – English
          • Foreclosure & Loan Modification – Spanish
        • Video Gallery
          • Ventura County District Attorney and Sheriff Joint Press Conference January 18, 2023
          • Family Justice Center Restraining Order Workshop
          • Centro de Justicia Familiar – Taller de órdenes de restricción contra la Violencia Doméstica
          • Murder Charge Filed in Death of Simi Valley Resident Rachel Castillo
        • Photo Album
  • Helping Victims
  • FAQs
  • Contact Us
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Category: Workers Compensation Forms

Publications, Workers Compensation Forms

Workers’ Compensation Fraud Complaint Form – English

Workers Comp Fraud Complaint Form_English 10.2022(fillable)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 10.2022 (fillable)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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