Workers' Compensation Filing Information


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Title Workers' Compensation Filing Information
Description

Used by only self-insured employers to comply with WAC 296-15-400. The form provides information and instructions to employees of self-insured employers in case of an injury or development of an occupational disease.

Document number F207-155-000
How to get this document
Keywords espanol, industrial insurance, injured worker, injuries, instructions, required forms, self insurance, self insurer, self-insurance, self-insurer, spanish, worker's compensation, workers compensation
Alt Language(s) Español
Valid dates 12/2012
Contact information Claims for Job Injuries, Employer Services
Websites Insurance for Business, Self-Insured Employers

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