Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados


Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-TL

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Title	Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-TL (A fillable form - 163 KB PDF)
Description	Used by self-insured employers or their representatives only, this is legal notification to an injured worker that their claim is being closed. This order is used only when time loss compensation has been paid, and a permanent partial disability award is also being paid.
Detail
Form number	F207-164-999
Availability	Online only
Keywords	claim closure, claim information, claims, closure, disability, espanol, industrial insurance, injured worker, injuries, injury, insurance, partial, permanent, permanent partial, permanent partial disability, ppd, self insurance, self insurer, self-insurance, self-insurer, spanish, time loss, time loss compensation, time-loss, time-loss compensation, worker's compensation, workers compensation, workers' compensation
Languages	Spanish , English
Valid dates	All dates valid
Contact information	Managing Injured Workers' Claims Claims for Job Injuries Self-Insurance
Related information
Documents	Notificación de Decisión de Cierre para reclamos Únicamente Médicos para Empleadores Autoasegurados Notificación de Decisión de Cierre para reclamos de Tiempo Perdido para Empleadores Autoasegurados Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-NTL
Web pages	Self-Insured Employers Insurance for Business

See also