Payment Activity Report {14-0147} | Pdf Fpdf Doc Docx | Iowa

 Iowa   Workers Compensation 
Payment Activity Report {14-0147} | Pdf Fpdf Doc Docx | Iowa

Last updated: 9/21/2023

Payment Activity Report {14-0147}

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FORM PAR -- 14-0147 - PAYMENT ACTIVITY REPORT ELECTRONIC DATA INTERCHANGE (EDI) & COMPLIANCE. This form is designed to assist with meeting the various filing requirements of the Iowa Workers’ Compensation Act and Administrative Rules. The form (or photocopy of the front side) is to not be filed with the Iowa Workers’ Compensation Commissioner's Office, except to support settlement applications.

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