| Información del documento | ||
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| Título |
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| Descripción | Information card: Provides contact information for injured workers needing assistance in finding a health-care provider who will treat their occupational injury or disease. This PDF will print out an 8.5" X 11" sheet that has 12 copies of the card. Note: Disclaimer information on Page 2 may not line up accurately in two-sided printing. | |
| Detalle | ||
| Número del formulario | F160-006-999 | |
| Disponibilidad | ordénelo | |
| Palabras claves | claims, doctor, health-care provider, injured worker, medical provider, medical services, treatment | |
| Idiomas | Spanish, English | |
| Fechas válidas | 12-2010 | |
| Contacto |
Claims for Job Injuries
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| Páginas de Internet | Find a Doctor | |