Obtenga un formulario o publicación: living
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| Título | Tipo | Número |
|---|---|---|
| Department of Labor and Industries Home Modification Acknowledgement of Responsibilities
Used by both workers and bidding contractors to read, sign and submit to L&I to verify that they have read, understand and accept their respective responsibilities in the home modification process. |
Form | F247-003-000 |
| Social Security Offset Calculations Only Quarterly Statement of Supplemental Benefits Paid for Self-Insured Employers
Used by self-insured employers to request reimbursement from L&I for cost-of-living-adjustments paid to injured workers. |
Form | F207-011-222 |
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