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

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Título SIF-4 Self Insured Employer's Request for Denial of Claim (Un formulario electrónico)- 61 KB PDF)
Descripción 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.
Detalle
Número del formulario F207-163-000
Disponibilidad Online only
Palabras claves 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
Idiomas English
Fechas válidas 10-2008
Contacto Managing Injured Workers' Claims
Claims for Job Injuries
Self-Insurance
Páginas de Internet Insurance for Business
Self-Insured Employers

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