| Información del documento | ||
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| Descripción | Used by organizations to set up an agreement with L&I authorizing their participation in retrospective rating. | |
| Detalle | ||
| Número del formulario | F250-004-000 | |
| Disponibilidad | Online only | |
| Palabras claves | industrial insurance, reducing premiums, retro, worker's compensation, workers compensation, workers' compensation | |
| Idiomas | English | |
| Fechas válidas | 04-2012, Mo-2011 | |
| Contacto |
Contact Us About Retrospective Rating
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| Información relacionada | ||
| Documentos | Application for Group Membership & Authorization for Release of Insurance Data |
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| Páginas de Internet | Qualify for Refunds | |