Workers' Compensation File Information Contract
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| Title |
Workers' Compensation File Information Contract (A fillable form - 230 KB PDF)
|
|
| Description | This is an agreement between an individual and/or firm and L&I which authorizes access to L&I's computer database/application. (5 pages) | |
| Detail | ||
| Form number | F212-197-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | authorization, contract, workers compensation | |
| Languages | English | |
| Valid dates | 02-Year | |
| Contact information |
Managing Injured Workers' Claims
|
|
| Web pages | Insurance for Business | |
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