Stay at Work Wage Reimbursement Application for Employers

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Título

Stay at Work Wage Reimbursement Application for Employers

(244 KB DOC)
Descripción

Employer of record can request reimbursement for wages paid to an injured worker during light duty or transitional work. After completing the form, the employer submits it, along with supporting documentation, to the Stay at Work program for review and approval. For expense reimbursements see F243-003-000.

Detalle
Número del formulario F243-001-000
Disponibilidad solicítelo
Palabras claves claim, early, incentive, injury, job, payroll, return, subsidy
Idiomas English
Fechas válidas 09-2014
Contacto Stay at Work
Páginas de Internet Stay at Work

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