Injured by a third party?  

Document Information
  How to complete a fillable form.
Title Injured by a third party?  

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.

Document number F249-008-000
How to get this document
Alt Language(s) Español
Valid dates 08/2014, 09-2013
Contact information Third Party Claim Cost Recovery
Websites Injured by a Third Party?, Insurance for Business

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