Self-Insurance Vocational Reporting Form

Self-Insurance Vocational Reporting Form - (Forms/Publications)
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Title Self-Insurance Vocational Reporting Form (A fillable form - 131 KB PDF)

Used by self-insured employers and their representatives to report to L&I an injured worker's eligibility for vocational services or ability to work. This replaces F207-121-000 Employability Assessment Report (EAR).

Form number F207-190-000
Online only. See document above to download.
Keywords employability status, industrial insurance, insurance, plan, return, return to work program, return-to-work, returning to work, self insurance, self insurer, self-insurer, training plan, VIP, Voc Improvement Project, voc rehab, vocational provider, worker's compensation, workers compensation, workers' compensation
Languages English
Valid dates 04-2009
Contact information Managing Injured Workers' Claims
Vocational Resources
Related information
Documents Self-Insurance Vocational Services Closing Cover Sheet

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