Occupational Disease Claims in Workers' Compensation


Document Information
  How to complete a fillable form.
Title Occupational Disease Claims in Workers' Compensation (English)
Document number F252-117-000
Document type Publication
How to get this document
  • Contact the Crime Victims Compensation Program, 1-800-762-3716. Please have the document number ready so we can process your request quickly. The title is also helpful.
  • FAX your request to 360-902-5333.

  • Check for alternate languages of this document
    Valid dates 02/2018
    Contact information Medical Provider Contacts
    Websites Attending Provider Resource Center

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