Injured by a third party?  

Injured by a third party?   - (Forms/Publications)
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Title   Injured by a third party?   (152 KB PDF)

Brochure: Summarizes the legal rights and options an injured worker has if a third-party action pertains to his/her workers' compensation claim. Includes the Third Party Election Form that must be completed by the worker. Note: The form must be printed, signed and mailed.

Form number F249-008-000
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Keywords election, injured worker, injury, lawsuit, party, third, third party
Languages English , Spanish
Valid dates 09-2013
Contact information Third Party Claim Cost Recovery
Web pages Insurance for Business
Injured by a Third Party?

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