A lawsuit has been filed against an illegally uninsured employer regarding a workers' compensation claim.

STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS 07/26/2024 WORKERS' COMPENSATION APPEALS BOARD SPECIAL NOTICE OF LAWSUIT (Pursuant to Labor Code 3716 and Code of Civil Procedure Sections 412.20 and 412.30) WCAB NO.:ADJ16842867 To: DEFENDANT, ILLEGALLY UNINSURED EMPLOYER : AVISO: Usted est  siendo demandado. La corte puede expedir una decisi¢n en contra suya sin darle la oportunidad de defenderse a menos que usted actue pronto. Lea la siguiente informaci¢n. Monica Lopez Applicant. Angel Cifuentes an Individual doing business as INTEGRATED BUILDING SERVICES, INC, a California Stock Corporation 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 abovenamed 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 nonjudicial 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 BOARD WORKERS' COMPENSATION APPEALS BOARD Name and Address of Appeals Board: VNO 6150 Van Nuys Blvd, Ste 105. Van Nuys CA 91401 Name and Address of Applicant's Attorney: Abramson Labor Group 1700 W Burbank Blvd, Burbank CA 91506 FORM COMPLETED BY: Bryanna Latona Telephone No.: 2134936300 NOTICE TO THE PERSON SERVED : You are served: under:[X]CCP 416.10 (corporation) by personal delivery on (date): STATE OF CALIFORNIA DIVISION OF WORKERS' COMPENSATION WORKERS' COMPENSATION APPEALS BOARD APPLICATION FOR ADJUDICATION OF CLAIM ADJ16842867 Case No. ƒ' Amended Application Venue 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).) VNO Select 3 Letter Office Code For Place/Venue of Hearing (From the Document Cover Sheet) Injured Worker (Completion of this section is required) First Name Monica Last Name Lopez 14802 Newport Ave Apt 13B Employer State CA Zip Code 92780 ƒ' Uninsured Angel 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 #358 Employer 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, born 05/04/1984 (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 05/03/2022 The injury occurred at 3050 Bristol St, Costa Mesa CA 92626 City Van Nuys State CA Zip Code 91401 Los Angeles Daily News Published: 3/4/26