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-NTL

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Title	Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-NTL (A fillable form - 137 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 not been paid, but a permanent partial disability award is being paid.
Detail
Form number	F207-165-999
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, self insurance, self insurer, self-insurance, self-insurer, spanish, 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-TL
Web pages	Insurance for Business Self-Insured Employers