Pre-Job Accommodation Assistance Application

Pre-Job Accommodation Assistance Application - (Forms/Publications)
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Title Pre-Job Accommodation Assistance Application (100 KB DOC)

For use by a therapist or vocational provider to request job modification for an injured worker before the injured workers is employed, possibly in a retraining program. This may involve tools and equipment that is purchased through L&I.

Form number F245-350-000
Online only. See document above to download.
Keywords voc rehab, vocational rehab, vocational rehabilitation
Languages English
Valid dates 07-2013
Contact information Managing Injured Workers' Claims
Vocational Resources
Claims for Job Injuries
Treating Injured Workers
Related information

Vocational Training Plan Ownership Agreement for Tools and Equipment

Web pages For Medical Providers
Workers' Comp Claims

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