Get a Form or Publication: historia
Your search for "historia" returned 5 documents.
See also
| Title | Type | Number |
|---|---|---|
| Employment History Form Spanish Formulario de Historial de Empleo
Also available in: English Used by injured worker to report their employment history for the past three years and the wages at each job. |
Form | F242-109-999 |
| Continuación del Historial de Trabajo Enfermedad Ocupacional
Also available in: English Injured worker fills this out to document possible occupational disease and to show work history. |
Form | F242-071-911 |
| Historial de Trabajo (Enfermedad Ocupacional)
Also available in: English Injured worker fills out this document to show more work history. This form goes with Occupational Disease & Employment History (F242-071-000). |
Form | F242-071-999 |
| Occupational Disease Employment History of Hearing Loss and Continuation Sheet - Spanish - HISTORIA DE TRABAJO PÉRDIDA DE AUDICIÓN
Also available in: English, English History of Hearing Loss and Continuation Sheet - Spanish - HISTORIA DE TRABAJO PÉRDIDA DE AUDICIÓN |
Form | F262-013-999 |
| Vocational Questionnaire/Work History - Spansih CUESTIONARIO VOCACIONAL/HISTORIA DE TRABAJO
Vocational Questionnaire/Work History for use by Vocational Providers serving injured workers |
Form | F280-038-999 |
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