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Pennsylvania Supplemental Agreement for Compensation for Disability or Permanent Injury for Workers' Compensation

State:
Pennsylvania
Control #:
PA-LIBC337-WC
Format:
PDF
Instant download
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Description

This is one of the official workers' compensation forms for the state of Pennsylvania.

How to fill out Pennsylvania Supplemental Agreement For Compensation For Disability Or Permanent Injury For Workers' Compensation?

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Pa Supplemental Agreement
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