Stay at Work Expense Reimbursement Application for Employers Tools, Clothing, Training.

Stay at Work Expense Reimbursement Application for Employers Tools, Clothing, Training. - (Forms/Publications)
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Title Stay at Work Expense Reimbursement Application for Employers Tools, Clothing, Training. (A fillable form - 112 KB PDF)
Description

Employer of record can request reimbursement for tools, clothing, or training expenses required to enable an injured worker to return to light duty or transitional work. After completing the form, the employer submits it, along with supporting documentation, to the Stay at Work program for review and approval. For wage reimbursements see F243-001-000.

Detail
Form number F243-003-000
Availability
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Keywords claim, early, equipment, incentive, injury, job, return, tuition
Languages English
Valid dates 07-2012
Contact information Stay at Work
Web pages Stay at Work

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