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

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Title Notificación de Decisión de Cierre para reclamos de Tiempo Perdido para Empleadores Autoasegurados (A fillable form - 149 KB PDF)
Description Used by self-insured employers or their representatives, this is legal notification to an injured worker that their claim is being closed. This order is used only when time loss compensation has been paid, but no permanent partial disability award is being paid.
Detail
Form number F207-070-999
Availability
Online only. See document above to download.
Keywords claim closure, claim information, claims, closure, espanol, industrial insurance, injuries, injury, self insurance, self insurer, self-insurance, self-insurer, spanish, time-loss, time-loss compensation, worker's compensation, workers compensation, workers' compensation
Languages Spanish , English
Valid dates All dates valid
Contact information Managing Injured Workers' Claims
Claims for Job Injuries
Self-Insurance
Related information
Documents Notificación de Decisión de Cierre para reclamos Únicamente Médicos 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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