GSS Insurance Services

Please open and print each document when delivering policies to your insured. Should you require paper copies of any forms or posters please call our customer service center
at (760) 947-5500.

California Policies

GSS Insurance Services is licensed as Santolucito Insurance Services in the state of Nevada.

Southern Insurance Company

Inroduction Information

Posting Notices

PREMIUM AUDIT

FAQ & State Specific Information

Sample Audit Forms

LOSS CONTROL & SAFETY INFORMATION

Loss Control Introduction

WELCOME KIT

Access to Medical and Exposure Records (poster) - English

Access to Medical and Exposure Records (poster) - Spanish

CA Notice Poster

California Posting Requirements

Emergency Telephone Numbers (poster)

What you need to know when you are injured at work

What you need to know about Workers' Compensation

Safety & Health Protection On The Job (Cal-OSHA) - English

Safety & Health Protection On The Job (Cal-OSHA) - Spanish

Medical Provider Network

Claim Forms

Notice of Personal Chiropractor or Acupuncturist - English

Notice of Personal Chiropractor or Acupuncturist - Spanish

Claimant - Mileage Form

Work Comp Claim Form & Notice of Potential Elgibilty

Physician Predesignation - Spanish

Physician Predesignation - English

Wage Verification Form CA

Policies Under $10,000 Premium

Policies Over $10,000 Premium or Dual Wage Policies

Loss Control FAQ's

Welcome Letter

Loss Control Newsletters

Loss Control & You - Summer 2008

Loss Control & You - Fall 2008

Loss Control & You - Winter 2008-09

Loss Control & You - Spring 2009

Loss Control & You - Summer 2009

Loss Control & You - Fall 2009

Loss Control & You - Winter 2009-2010

Loss Control & You Spring 2010

Loss Control & You Ref. Guide 03 2010

Safety Video Materials

Video Library Catalog 6-09

Video Library Information sheet 6-09

Video Library Quick-Ref. 6-09 (Excel)

Video Library Service Agreement 6-09

Video Request Form - v5 6-09