SIF-4 Self Insured Employer's Request for Denial of Claim

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Title SIF-4 Self Insured Employer's Request for Denial of Claim
Description Used by self-insured employers or their representatives to notify an injured worker that the employer or representative is requesting that L&I deny their claim.
Document number F207-163-000
How to get this document
Keywords claims, denial notice, industrial insurance, injuries, injury, notice of denial, notice of rejection, rejection notice, self insurance, self insurer, self-insurance, self-insurer, sif 4, sif4, worker's compensation, workers compensation, workers' compensation
Alt Language(s)
Valid dates 10/2008
Contact information Claims for Job Injuries, Employer Services, Employer Services
Websites Insurance for Business, Self-Insured Employers

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