Workers' Compensation Claim Form

State Compensation Insurance Fund (SCIF)

This government document is issued by State Compensation Insurance Fund (SCIF) for use in California

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File Details: PDF (139 KB)
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https://content.statefundca.com//pdf/e3301.pdf?_gl=1*1mal4s3*_ga*MTE3NTAwODU4MC4xNjY1NjQ0NDMx*_ga_6D9H3JDBMZ*MTY2NTY0NDQzMS4xLjEuMTY2NTY0NDk2Ny4wLjAuMA..

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