Employers Statement Of Wage Earnings (Preceding Date Of Injury-Illness) {C-240} | Pdf Fpdf Docx | New York

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Employers Statement Of Wage Earnings (Preceding Date Of Injury-Illness) {C-240} | Pdf Fpdf Docx | New York

Employers Statement Of Wage Earnings (Preceding Date Of Injury-Illness) {C-240}

This is a New York form that can be used for 7 Workers Compensation.

Alternate TextLast updated: 1/20/2020

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