Self-Insurer Accident Report (SIF-2)


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Title Self-Insurer Accident Report (SIF-2)
Description

Provided to workers by the self-insured businesses or their third party claims administrators to report an industrial injury or occupational disease. This form is not on the internet. If you are an injured worker, ask your employer for a copy of this form. Self-insured businesses or their third party claims administrators may order copies of this form. Cllick the "order It" button below to order paper copies or request the form in MSWord.

Document number F207-002-000
How to get this document
Alt Language(s)
Valid dates 01/2013
Contact information Self-Insurance
Websites

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