Cómo Registrar un Reclamo para la Compensación del Trabajador con Empresas Autoaseguradas

Cómo Registrar un Reclamo para la Compensación del Trabajador con Empresas Autoaseguradas - (Forms/Publications)
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Title Cómo Registrar un Reclamo para la Compensación del Trabajador con Empresas Autoaseguradas (A fillable form - 103 KB PDF)
Description

Used by only self-insured employers to comply with WAC 296-15-400. The form provides information and instructions to employees of self-insured employers in case of an injury or development of an occupational disease.

Detail
Form number F207-155-999
Availability
Online only. See document above to download.
Keywords espanol, filing information, industrial insurance, injured worker, injuries, required forms, self insurance, self insurer, self-insurance, self-insurer, spanish, worker's compensation, workers compensation, workers' compensation
Languages Spanish , English
Valid dates 12-2012
Contact information Claims for Job Injuries
Self-Insurance
Web pages Self-Insured Employers
Insurance for Business

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