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Workers\' Compensation Claim Instructions for Completing the Forms Required report a Correlated Injury or IllnessState of California Department of Personnel Administration Workers Compensation ProgramRevised
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This claims kit provides information and forms necessary to file a claim for insurance benefits.
The policyholder or insured individual is required to file this claims kit.
The claims kit should be filled out with accurate and detailed information about the incident or loss being claimed.
The purpose of this claims kit is to assist in the smooth processing of insurance claims and ensure timely payment of benefits.
The claims kit typically requires information such as the policy number, date and details of the incident, and any supporting documentation.
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