Self-Insurance Vocational Reporting Form
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Self-Insurance Vocational Reporting Form (A fillable form - 131 KB PDF)
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| Description | Used by self-insured employers and their representatives to report to L&I an injured worker's eligibility for vocational services or ability to work. This replaces F207-121-000 Employability Assessment Report (EAR). |
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| Detail | ||
| Form number | F207-190-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | employability status, industrial insurance, insurance, plan, return, return to work program, return-to-work, returning to work, self insurance, self insurer, self-insurer, training plan, VIP, Voc Improvement Project, voc rehab, vocational provider, worker's compensation, workers compensation, workers' compensation | |
| Languages | English | |
| Valid dates | 04-2009 | |
| Contact information |
Managing Injured Workers' Claims
Vocational Resources Self-Insurance |
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| Related information | ||
| Documents | Self-Insurance Vocational Services Closing Cover Sheet |
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