Injured by a third party?

Document Information
  How to complete a fillable form.
Title Injured by a third party?  (Spanish)
Document number F249-008-999
Document type Form
How to get this document
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Valid dates 08/2014, 09/2013
Contact information La Sección de Terceros de L&I - 360-902-5100
Websites ¿Lesionado por un tercero?

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