Application to Reopen Claim Due to Worsening Condition


Application to Reopen Claim Due to Worsening Condition

Document Information
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Title	Application to Reopen Claim Due to Worsening Condition (115 KB PDF)
Description	Used by injured workers and doctors to apply to reopen an industrial injury or occupational disease claim that has been closed for longer than 60 days.
Detail
Form number	F242-079-000
Availability	Order it
Keywords	application, application to reopen, apply to reopen, claim closure, claim information, claims, doctor, industrial insurance, injured worker, injury, insurance, occupational, occupational injuries, reopen, reopen claim, worker's compensation, workers compensation, workers' compensation, worsening
Languages	English , Spanish
Valid dates	08-2007
Contact information	Claims for Job Injuries