Individual Retrospective Rating Plan Agreement
See also
| Document Information | ||
|---|---|---|
 How to complete a fillable form. |
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| Title | Individual Retrospective Rating Plan Agreement | |
| Description | Used by employers to set up an agreement between them and L&I authorizing their participation in retrospective rating. | |
| Document number | F250-003-000 | |
| How to get this document |
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| Alt Language(s) |
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| Valid dates | 04/2012 | |
| Contact information | Contact Us About Retrospective Rating | |
| Websites | Qualify for Refunds | |
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