SIF-4 Self Insured Employer's Request for Denial of Claim
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| Información del documento | ||
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| Título |
SIF-4 Self Insured Employer's Request for Denial of Claim (Un formulario electrónico)- 61 KB PDF) |
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| 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 |
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| Páginas de Internet | Insurance for Business Self-Insured Employers |
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