California > Workers Comp > General
File Request Slip WC-6 - California
| File Request Slip Form. This is a California form and can be used in General Workers Comp . |
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STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF INDUSTRIAL ACCIDENTS REQUEST FOR: DATE FILE REQUEST SLIP CASE NAME: CASE NUMBER: PLEASE STAMP HERE!! PERSON OR OFFICE REQUESTING FILE(S) PERSON OR FIRM: ADDRESS: TELEPHONE: NAME OF PERSON REQUESTING: INDICATE TYPE OF REQUEST: i.e., C & R, STIPS, ETC., IN UPPER RIGHT HAND CORNER WC-6 2002 © American LegalNet, Inc.
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