This form is an official Pennsylvania's Worker's Compensation form which complies with all applicable state codes and statutes. USLF updates all state forms as is required by state statutes and law.
Pennsylvania Claim Petition for Additional Compensation from the Subsequent Injury Fund
State:
Pennsylvania
Control #:
PA-LIBC375-WC
Format:
PDF
Instant download
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Public form
Description
How to fill out Pennsylvania Claim Petition For Additional Compensation From The Subsequent Injury Fund?
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