| Información del documento | ||
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| Título |
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| Descripción | Used by the injured worker to provide comments to L&I about their recent medical exam by an IME. | |
| Detalle | ||
| Número del formulario | F245-053-000 | |
| Disponibilidad | Online only | |
| Palabras claves | doctor, español, espanol, exams, independent medical examiner, industrial insurance, physician, spanish, worker's compensation, workers compensation, workers' compensation | |
| Idiomas | English, Spanish | |
| Fechas válidas | 12-2004 | |
| Contacto |
Claims for Job Injuries
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| Páginas de Internet | Workers' Comp Claims | |