Address Change Request for Injured Workers
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| Información del documento | ||
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| Título |
Address Change Request for Injured Workers (Un formulario electrónico)- 164 KB PDF) |
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| Descripción | Completed and signed by a State Fund injured worker to notify L&I of a change in address. All address changes must be submitted in writing and signed by the injured worker. | |
| Detalle | ||
| Número del formulario | F242-388-000 | |
| Disponibilidad | Online only | |
| Palabras claves | change of address, claim information, claims, disability, disabled, español, espanol, industrial insurance, spanish, State Fund, time loss, time loss compensation, time-loss, time-loss compensation, worker's compensation, workers compensation, workers' compensation | |
| Idiomas | English, Spanish | |
| Fechas válidas | 07-2011 | |
| Contacto |
Claims for Job Injuries
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| Páginas de Internet | Workers' Comp Claims | |
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