An application for benefits from the Return-to-Work Supplement Program is a claim for benefits from the state.
The application shall contain the following notice:
“WARNING: any person who knowingly makes or uses a false record or statement material to the claim is liable for treble damages plus a civil penalty of not less than $5,500 and not more than $11,000 plus the cost of the action pursuant to the False Claims Act, Government Code sections 12650-12656.”
This warning does not constitute a limitation on any penalties that may attach to any action in violation of the law.
Note: Authority cited: Sections 54, 55 and 139.48, Labor Code. Reference: Section 139.48, Labor Code; and Sections 12650, 12651, 12652, 12653, 12654, 12655 and 12656, Government Code.