What is the case number for the lawsuit?

The case number is ADJ16842867.

Where is the hearing for the workers' compensation case?

The hearing will be held at the Workers' Compensation Appeals Board.

What should I do if I am the defendant?

You must file an Answer within six days of receiving the Application.

What happens if I don't respond to the lawsuit?

A decision may be made against you, potentially resulting in wage garnishment or property seizure.

A lawsuit has been filed against an uninsured employer for workers' compensation.

Official Courthouse Record · AI-summarized for clarity

Published: Mar 4, 2026 · 1 month ago
Category: Court Notice
City: Costa Mesa
Address: 3050 Bristol St, Costa Mesa, CA
Case #: ADJ16842867

View full case dossier

See all filings for case ADJ16842867 with AI case status analysis.

Case Dossier →

What You Should Do Next

1
Consult an Attorney
Seek legal advice immediately to ensure your response is timely filed.
2
File Your Answer
Submit your written response to the Appeals Board within six days of service.
3
Attend Hearings
Make sure to appear at all scheduled hearings to protect your interests.
4
Update Contact Information
Notify the Appeals Board of any changes to your address for official notices.

Frequently Asked Questions

What is the case number for the lawsuit?: The case number is ADJ16842867.
Where is the hearing for the workers' compensation case?: The hearing will be held at the Workers' Compensation Appeals Board.
What should I do if I am the defendant?: You must file an Answer within six days of receiving the Application.
What happens if I don't respond to the lawsuit?: A decision may be made against you, potentially resulting in wage garnishment or property seizure.

The above suggestions and answers are AI-generated for informational purposes only. They may contain errors. NoticeRegistry assumes no responsibility for their accuracy. Consult a qualified professional before taking action.

Full Notice Text

STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS
07/26/2024WORKERS' COMPENSATION APPEALS BOARDSPECIAL NOTICE OF LAWSUIT(Pursuant to Labor Code 3716 and Code of Civil Procedure Sections 412.20 and 412.30)WCAB NO.:ADJ16842867To: DEFENDANT, ILLEGALLY UNINSURED EMPLOYER:AVISO: Usted está siendo demandado. La corte puede expedir una decisión en contra suya sin darle la oportunidad de defenderse a menos que usted actue pronto. Lea la siguiente información.
Monica LopezApplicant.
Angel Cifuentes an Individual doing business as INTEGRATED BUILDING SERVICES, INC, a California Stock CorporationNOTICES1) 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! Issued by: WORKERS' COMPENSATION APPEALS BOARDWORKERS' COMPENSATION APPEALS BOARDName and Address of Appeals Board: VNO-6150 Van Nuys Blvd, Ste 105.Van Nuys CA 91401Name and Address of Applicant's Attorney: Abramson Labor Group -1700 W BurbankBlvd, Burbank CA 91506FORM COMPLETED BY: Bryanna LatonaTelephone No.: 213-493-6300NOTICE TO THE PERSON SERVED: You are served:under: [X] CCP 416.10 (corporation)by personal delivery on (date):
STATE OF CALIFORNIADIVISION OF WORKERS' COMPENSATIONWORKERS' COMPENSATION APPEALS BOARD APPLICATION FOR ADJUDICATION OF CLAIMADJ16842867 Case No. ☑ Amended ApplicationVenue choice is based upon (Completion of this section is required)County of principal place of business of employee's attorney (Labor Code section 5501.5(a)(3) or (d).)VNOSelect 3 - Letter Office Code For Place/Venue of Hearing (From the Document Cover Sheet) Injured Worker (Completion of this section is required)First Name MonicaLast Name Lopez14802 Newport Ave Apt 13BEmployerState CAZip Code 92780☑ UninsuredAngel Cifuentes an Individual doing business as INTEGRATED BUILDING SERVICES, INC, a California Stock Corporation Employer Name (Please leave blank spaces between numbers, names or words)13654 Victory Blvd #358Employer Street Address/PO Box (Please leave blank spaces between numbers, names or words)IT IS CLAIMED THAT (Complete all relevant information):1. The injured worker, born05/04/1984 (DATE OF BIRTH: MM/DD/YYYY), while employed as a(n) Maintenance(OCCUPATION AT THE TIME OF INJURY)suffered a : specific injury(Date of injury: 11/01/2021)and ended on 05/03/2022The injury occurred at 3050 Bristol St, Costa Mesa CA 92626City Van NuysState CAZip Code 91401
Los Angeles Daily NewsPublished: 3/4/26