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| Título | Tipo | Número |
|---|---|---|
Application to Reopen Claim due to Worsening Condition - Spanish Aplicación para Reabrir un Reclamo Debido al Empeoramiento de la Condición Also available in: English, English/Spanish Spanish version. Used by injured workers and doctors to apply to reopen an industrial injury or occupational disease claim that has been closed for longer than 60 days. |
Form | F242-079-999 |
Application to Reopen Claim Due to Worsening Condition Also available in: English/Spanish, Spanish Used by injured workers and doctors to apply to reopen an industrial injury or occupational disease claim that has been closed for longer than 60 days. 12-2009 version is in the warehouse until stock is used up, then the new 12-2012 version will be printed. |
Form | F242-079-000 |
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