Cuestionario Sobre la Pérdida del Sentido Auditivo en el Trabajo


Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title Cuestionario Sobre la Pérdida del Sentido Auditivo en el Trabajo
Description

Used by injured worker who has filed an occupational hearing loss claim to provide more specific information regarding how the hearing loss occurred. This is requested by the Claim Manager and sent to the Injured Worker.

Document number F262-016-999
How to get this document
Keywords claims, espanol, hearing impairment, industrial insurance, occupational diseases, occupational injuries, spanish, worker's compensation, workers compensation, workers' compensation
Alt Language(s) English
Valid dates 07/2002
Contact information Claims for Job Injuries
Websites

End of main content, page footer follows.

Access Washington official state portal

© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.