Report of Accident Instructions -- Spanish Instrucciones para el Reporte de Accidente

Report of Accident Instructions -- Spanish Instrucciones para el Reporte de Accidente - (Forms/Publications)
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Title   Report of Accident Instructions -- Spanish Instrucciones para el Reporte de Accidente (192 KB PDF)
Description

This document provides instructions in Spanish on how to complete the worker portion only of the Report of Accident (ROA). Please note that the Report of Accident is not available in Spanish. To order these instructions from the L&I Warehouse, please use the link below.

http://www.Lni.wa.gov/ClaimsIns/Providers/FormPub/ROA/OrderROA.asp

Detail
Form number F242-130-999
Availability
Order it
Keywords claim, espanol, spanish
Languages Spanish , English
Valid dates 10-2012
Contact information
Web pages Workers' Comp Claims

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