Cómo registrar un reclamo para la compensación del trabajador con empresas autoaseguradas


Cómo registrar un reclamo para la compensación del trabajador con empresas autoaseguradas

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Title	Cómo registrar un reclamo para la compensación del trabajador con empresas autoaseguradas (A fillable form - 104 KB PDF)
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.
Detail
Form number	F207-155-999
Availability	Online only
Keywords	espanol, filing, filing information, industrial insurance, injured worker, injuries, injury, instructions, insurance, required, required forms, self insurance, self insurer, self-insurance, self-insurer, spanish, worker's compensation, workers compensation, workers' compensation
Languages	Spanish , English
Valid dates	07-1996
Contact information	Claims for Job Injuries Self-Insurance
Web pages	Self-Insured Employers Insurance for Business