Self-Insurance Vocational Reporting Form

Document Information
  How to complete a fillable form.
Title Self-Insurance Vocational Reporting Form

Used by self-insured employers and their representatives to report to L&I an injured worker's eligibility for vocational services or ability to work. This replaces F207-121-000 Employability Assessment Report (EAR).

Document number F207-190-000
How to get this document
Alt Language(s)
Valid dates 04/2009
Contact information Managing Injured Workers' Claims , Self-Insurance , Vocational Resources
Related information
Documents Self-Insurance Vocational Services Closing Cover Sheet

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