Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-NTL

Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-NTL - (Forms/Publications)
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Title Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-NTL (40 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 not been paid, but a permanent partial disability award is being paid.

Detail
Form number F207-165-999
Availability
Online only. See document above to download.
Keywords claim closure, claim information, claims, closure, disability, espanol, industrial insurance, injuries, injury, permanent partial disability, permanent partial disability, self insurance, self insurer, self-insurance, self-insurer, spanish, worker's compensation, workers compensation, workers' compensation
Languages Spanish , English
Valid dates 08-2013
Contact information Managing Injured Workers' Claims
Claims for Job Injuries
Self-Insurance
Related information
Documents

Notificación de Decisión de Cierre para Reclamos Únicamente Médicos para Empleadores Autoasegurados


Notificación de Decisión de Cierre para reclamos de Tiempo Perdido para Empleadores Autoasegurados


Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-TL


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Self-Insured Employers

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