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Order Self Insurer Accident Report (SIF-2) Form. You now have 2 options for ordering SIF-2s. You may order: The paper forms as usual (in bundles of 100), with
After reporting your injury or illness to your supervisor, follow these steps to make sure your claim goes Complete the Self-Insurer Accident Report (SIF-2) form.
Form Name, Self-Insurer Accident Report (SIF-2). Form #, F207-002-000. Form Revision, 01-2013. Type, First Report. Downloads. Form State, Washington.
8 Apr 2010 injury. A “Third Party Election Form" and letter is sent to the third party by “Self-Insurer Accident Report Sample (SIF-2)" (completed by the
acknowledge your receipt of this orientation information by filling out the form Self-Insured Accident Report form (SIF2) Note: When you have completed and.
Whatcom County has been approved by the State to be self-insured, which or illness, complete the Self-Insurer Accident Report (SIF-2) and return this form to
(2) Immediately provide a Self-Insurer Accident Report (SIF-2) form F207-002-000 to every worker who makes a request, or upon the self-insurer's first
ON-THE-JOB INJURY CHECKLIST. If an injured employee seeks medical attention they must fill out a Self Insurer Accident Report (SIF-2). An employee has 12
Self-Insurer Accident Report (SIF-2): Document Information. How to complete a fillable form. Title, Self-Insurer Accident Report (SIF-2). Document number
Document Information. How to complete a fillable form. Title, Self-Insurer Accident Report (SIF-2) (English). Document number, F207-002-000. Document type

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August 2017