Notificación de Decisión de Cierre para Reclamos Únicamente Médicos para Empleadores Autoasegurados

Notificación de Decisión de Cierre para Reclamos Únicamente Médicos para Empleadores Autoasegurados - (Forms/Publications)
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Title Notificación de Decisión de Cierre para Reclamos Únicamente Médicos para Empleadores Autoasegurados (44 KB DOC)
Description

Used by self-insured employers or their representatives, this is legal notification to an injured worker that their claim is being closed with medical benefits only. This order is used only when neither time loss compensation nor a permanent partial disability award has been paid.

Detail
Form number F207-020-999
Availability
Online only. See document above to download.
Keywords claim information, claims, closure, espanol, industrial insurance, injuries, injury, self insurance, self insurer, self-insurance, self-insurer, spanish, time-loss compensation, worker's compensation, workers compensation, workers' compensation
Languages Spanish , English
Valid dates 08-2013
Contact information Managing Injured Workers' Claims
Claims for Job Injuries
Self-Insurance
Related information
Documents

Notificación de Decisión de Cierre para reclamos de Tiempo Perdido para Empleadores Autoasegurados


Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-TL


Notificación de Decisión de Cierre con Discapacidad Parcial Permanente para Empleadores Autoasegurados - PPD-NTL


Web pages Self-Insured Employers
Insurance for Business

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