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  *** Worker's Compensation Selection ***


INSULECTRO

All Branches
Supervisor’s Report of Injury- Insulectro WC Claim Form
Supervisor’s Report of Accident- Insulectro  

Lake Forest

Mountain View

Employer Report of Injury- California Employer Report of Injury- California
DWC Form - California DWC Form - California

Londonderry Chicago
Employer Report of Injury- New Hampshire Employer Report of Injury- Illinois

Golden Valley Phoenix
Employer Report of Injury- Minnesota Employer Report of Injury- Arizona

Dallas Forest Grove
Employer Report of Injury- Texas Employer Report of Injury- Oregon

Aurora  
Employer Report of Injury- Colorado  

VISTANA

Employer Report of Injury- California Supervisor’s Report of Accident- Vistana
Employer Report of Injury- New Hampshire Supervisor’s Report of Injury- Vistana
DWC Form - California  

   


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