Pennsylvania
Workers Comp
200 Ratings
Last updated: 6/27/2023
Notice Of Change Of Workers Compensation Disability Status {LIBC-764}
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Description
LIBC-764 - NOTICE OF CHANGE OF WORKERS’ COMPENSATION DISABILITY STATUS. This form is used by the Pennsylvania Department of Labor & Industry, Bureau of Workers' Compensation. This form is used to inform the relevant parties about a change in the disability status of a workers' compensation claim and provides necessary details and contact information. www.FormsWorkflow.com
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