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saif 801 fillable form
saif 801 fillable form

Fillable SAIF Corporation 801 Claim Form

Description

Notify SAIF Corporation within five days of knowledge of the claim. Even if the worker does not wish to file a claim maintain a copy of this form. 30. Workers compensation claim Worker To make a claim for a work-related injury or illness fill out the worker portion of this form and give to your employer. If you do not intend to file a workers compensation claim with SAIF Corporation do not sign the signature line....
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