Self-Insurer Accident Report (SIF-2)

Self-Insurer Accident Report (SIF-2) - (Forms/Publications)
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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.

Detail
Form number F207-002-000
Availability
Order it
Keywords claim information, claims coverage, diseases, industrial insurance, injury, medical forms, occupational injuries, report of accident, report of injury or occupational disease, reporting accidents, worker's compensation, workers compensation, workers' compensation
Languages English
Valid dates 01-2013
Contact information Self-Insurance

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