Autorización para Proveer Información de Reclamos

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Title Autorización para Proveer Información de Reclamos

Used by the worker to designate a person(s) as an authorized representative for the worker's claim. An authorized representative can access claim information.

Document number F101-010-999
How to get this document
Keywords authorization, claims, designee, espanol, industrial insurance, release information, representative, spanish, worker's compensation, workers compensation, workers' compensation
Alt Language(s) English
Valid dates 04/2006
Contact information Claims for Job Injuries, Employer Services
Websites Workers' Comp Claims

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