| Document Information | ||
|---|---|---|
Get help downloading & printing files. |
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| Title |
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| Description | Used by a self-insured employer to signify the employer's obligation and responsibilities in conjunction with providing an annuity as collateral for a total permanent disability claim. | |
| Detail | ||
| Form number | F207-129-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | claims, disabled, memo, MOU, self insurance, self insurer, self-insurance, self-insurer, worker's compensation, workers compensation, workers' compensation | |
| Languages | English | |
| Valid dates | 12-1992 | |
| Contact information |
Self-Insurance
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| Web pages | Self-Insured Employers Insurance for Business |
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