A lawsuit has been filed against Rolando Gutierrez for being illegally uninsured.

STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS
WORKERS' COMPENSATION APPEALS BOARD
SPECIAL NOTICE OF LAWSUIT
(Pursuant to Labor Code 3716 and Code of Civil Procedure Sections 412.20 and 412.30)
WCABNO.: ADJ13496067
To: DEFENDANT, ILLEGALLY UNINSURED EMPLOYER:
A VISO: Usted esta siendo demandado. La corte puede expedir una decision en contra suya sin darle
la oportunidad de defenderse a menos que usted actue pronto. Lea la sieuiente informacion.
Applicant:
Salvador Ibarra Ibarra
Defendant(s)
Rolando Gutierrez, an Individual
NOTICES
1) A lawsuit, the Application for Adjudication of Claim, has been filed with the Workers' Compensation Appeals Board against you
as the named defendant by the above-named applicant(s).
You may seek the advice of an attorney in any matter connected with this lawsuit and such attorney should be consulted promptly so
that your response may be filed and entered in a timely fashion.
If you do not know an attorney, you may call an attorney reference service or a legal aid office. You may also request assistance / information from an Information and Assistance Officer of the Division of Workers' Compensation. (See telephone directory.)
2) An Answer to the Application must be filed and served within six days of the service of the Application pursuant to Appeals Board rules; therefore, your written response must be filed with the Appeals Board promptly; a letter or phone call will not protect your interests.
3) You will be served with a Notice(s) of Hearing and must appear at all hearings or conferences. After such hearing, even absent your appearance, a decision may be made and an award of compensation benefits may issue against you. The award could result in the garnishment of your wages, taking of your money or property, or other relief.
If the Appeals Board makes an award against you, your house or other dwelling or other property may be taken to satisfy that award
in a non-judicial sale, with no exemptions from execution.
A lien may also be imposed upon your property without further hearing and before the issuance of an award.
4) You must notify the Appeals Board of the proper address for the service of official notices and papers and notify the Appeals
Board of any changes in that address.
TAKE ACTION NOW TO PROTECT YOUR INTERESTS!
Name and Address of Appeals Board:
WORKERS' COMPENSATION APPEALS BOARD
6150 Van Nuys Blvd #110, Van Nuys, CA 91401
Name and Address of Applicant's Attorney:
Law at Your Side
8605 Santa Monica Blvd. #92394
Los Angeles, CA 90069
FORM COMPLETED BY: Dustin Saidi, Esq.
Telephone No.:
(818) 861-9675
NOTICE TO THE PERSON SERVED:
You are served:
1. [X] as an individual defendant Rolando Gutierrez, an Individual
STATE OF CALIFORNIA
DIVISION OF WORKERS COMPENSATION
WORKERS COMPENSATION APPEALS BOARD
ADDENDUM TO APPLICATION FOR ADJUDICATION OF CLAIM TO IDENTIFY LEGAL ENTITY
EMPLOYING INJURED WORKER
Case No. _ADJ13496067
Applicant:
Salvador Ibarra Ibarra
Defendant(s)
Rolando Gutierrez, an Individual
ATTENTION DEFENDANT EMPLOYER:
You have been sued by the above-named Injured Worker (Applicant) in an Application for Adjudication of Claim filed with the Workers Compensation Appeals Board. IT IS ALLEGED THAT YOU ARE ILLEGALLY UNINSURED.
The Application for Adjudication of Claim, a copy of which is attached, lists your name as: Rolando Gutierrez
In naming you this way, Applicant intends that you be identified by the name below and, in such capacity, is suing you: Rolando Gutierrez, an Individual
In box above, specify full legal name of the Defendant
BE ADVISED the legal entity named here is subject to all NOTICES contained in the SPECIAL NOTICE OF LAWSUIT
served upon you together with this document.
Dated at LOS ANGELES, California, on 10/28/2024
LAW SIDE LOS ANGELES
8605 SANTA MONICA BLVD. #92394.
LOS ANGELES CA 90069
818-861-9675Feb. 19#######