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

State:
Pennsylvania
City:
Pittsburgh
Control #:
PA-LIBC337-WC
Format:
PDF
Instant download
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Public form

Description

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

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

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