Self-insurance forms categorized by area of business: SIF-2 Addendum F207-002-000 must be attached to SIF-2's dated prior to February 2021. Plan Development: What Are My Rights & …

To order SIF-2’s, please complete the SIF-2 order form and return it to us by email at [email protected] or Fax at 360-902-6977

Complete the form to the Employer Section. Use a pen and press hard. Give the complete form to your employer when you’re done. The information you provide with help determine whether …

Ready to get started with SIF? Find all the forms pertaining to agents, claims, return to work, website access and more.

The reporting form for a self-insured worker's industrial injury or occupational illness is the Self-Insurer Accident Report (SIF-2) L&I form F207-002-000. Self-insurers must obtain these forms …

(1) Establish procedures to assist injured workers in reporting and filing claims. (a) Immediately provide a Self-Insurer Accident Report (SIF-2) form F207-002-000 to every worker who makes …

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The Second Injury Fund (SIF) is a state-administered program that may reimburse part of a claim when an employee with a permanent pre-existing condition is subsequently injured on the job. …

How do I request a duplicate SIF? A lien holder may request the duplicate SIF in-person at the Glen Burnie Headquarters or by mail to the MVA Title File Unit. The request must include a …

SIF-2 SIF-2 is the required form for injury or occupational disease reporting and claim initiation to be submitted to the department Employer must provide an SIF-2 to the worker upon request or …