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Workers' Compensation Survey California's economic downturn has had a significant impact on both state government and on private sector businesses whose success is vital for our state's recovery. Among common complaints of business owners and executives is concern about state laws and policies that they regard as impairing our business climate and making us less competitive with neighboring states or foreign countries. Injured workers' compensation insurance premiums are often cited as a key cost factor that effects productivity. In an effort to gain better understanding of the scope of the problem and identify businesses and catalog this cost driver, your willingness to answer the following questions is most appreciated. Your company's identification and answers on the questionaire below will be kept confidential. We will aggregate your information with other responses for the purposes of any public statements. Have your workers' compensation rates increased in the last three years? (%) 0-50% 50-75% 75-100% 100-150% 150-175% 175-200% Over 200% Dollar Amount of Increase? ($) What actions if any have you taken to address the rising rate increases? Reduce/ eliminate health benefits Reduce/eliminate retirement program Reduce workers' hours Layoff workers Other If you selected any of the above, please provide examples in the comments section below. Have you experienced increased claims over the last three years? Yes   No Have workers¹ compensation rates affected your expansion plans? Yes   No Have you seriously considered moving any operations outside of California as a result of rising business costs? Yes   No On a scale of 1 -10 (with 10 being the worst and 1 the best), how would you rate California¹s business climate? Please Select: 1 2 3 4 5 6 7 8 9 10 Please provide any additional comments Your approximate workforce payroll ($) First name: Last name: Name of business / organization: Industry: Email address: Zip code: Number of employees: