Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-TL

Self-Insured Employers'' Permanent Partial Disability Closure Order and Notice - PPD-TL - (Forms/Publications)
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Title Self-Insured Employers'' Permanent Partial Disability Closure Order and Notice - PPD-TL (44 KB DOC)
Description

Used by self-insured employers or their representatives only, this is legal notification to an injured worker that their claim is being closed. This order is used only when time loss compensation has been paid, and a permanent partial disability award is also being paid.

Detail
Form number F207-164-000
Availability
Online only. See document above to download.
Keywords claim closure, claim information, claims, disability, espanol, industrial insurance, injuries, injury, insurance, self insurance, self insurer, self-insurance, self-insurer, spanish, time-loss, time-loss compensation, worker's compensation, workers compensation, workers' compensation
Languages English , Spanish
Valid dates 08-2013
Contact information Managing Injured Workers' Claims
Claims for Job Injuries
Self-Insurance
Related information
Documents

Self-Insured Employers' Time Loss Claim Closure Order and Notice


Self-Insured Employers' Permanent Partial Disability Closure Order and Notice - PPD-NTL


Self-Insured Employers' Medical Only Claim Closure Order and Notice


Web pages Insurance for Business
Self-Insured Employers

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