Forms and Publications

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Title Number / Language
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Declaration of Entitlement for Totally Disabled Worker Benefits Under Industrial Insurance  F242-423-201 (Amharic)
 F242-423-203 (Arabic)
 F242-423-211 (Bosnian)
 F242-423-223 (Croatian)
 F242-423-000 (English)
 F242-423-233 (Farsi/Persian)
 F242-423-237 (Greek)
 F242-423-249 (Japanese)
 F242-423-255 (Korean)
 F242-423-261 (Laotian)
 F242-423-274 (Mien)
 F242-423-289 (Polish)
 F242-423-291 (Punjabi/Panjabi)
 F242-423-294 (Russian)
 F242-423-298 (Serbian)
 F242-423-303 (Somali)
 F242-423-999 (Spanish)
 F242-423-307 (Tagalog/Filipino)
 F242-423-312 (Tigrinya/Tigrigna)
 F242-423-319 (Vietnamese)





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