Statement for Retraining and Job Modification Services
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| Información del documento | ||
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| Título |
Statement for Retraining and Job Modification Services (Un formulario electrónico)- 275 KB PDF) |
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| Descripción | Bill form for providers that bill the department for claim-related retraining and job modification services. See the Retraining and Job Modification Billing Instructions (F248-015-000) for information on completing this form. | |
| Detalle | ||
| Número del formulario | F245-030-000 | |
| Disponibilidad | ordénelo | |
| Palabras claves | injured worker, provider, rehab, rehabilitation, reimbursement, self-insurance, self-insurer, workers compensation, workers' compensation | |
| Idiomas | English | |
| Fechas válidas | 02-2011, 04-2010 | |
| Contacto |
Managing Injured Workers' Claims
Claims for Job Injuries |
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| Información relacionada | ||
| Documentos | Option 2 Vocational Benefits Training Enrollment Application and Verification |
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| Páginas de Internet | For Medical Providers | |
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