Federated insurance claim form

Claim Forms

BACK INJURY: OCCUPATIONAL INJURIES AND DISEASE COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993 AS AMENDED

COID-outside-RSA: AGREEMENT IN TERMS OF SECTION 23(1) COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993

Employers-Report-of-Disease: DECLARATION BY EMPLOYER OR AUTHORISED PERSON

Final-Eye-Report-1: PROGRESS/FINAL EYE REPORT
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993

Final-Eye-Report-2: PROGRESS/FINAL EYE REPORT
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993

Leg-and-Foot-report: COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993 AS AMENDED FINAL LEG AND FOOT REPORT

Leg-and-Knee-Medical-Report: LEG AND KNEE MEDICAL REPORT
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993 AS AMENDED

Medical-Report: FINAL MEDICAL REPORT
COMPENSATIONFOR OCUPATIONAL INJURIES AND DISEASES ACT, 1993 AS AMENDED

Occupational-Disease: FINAL MEDICAL REPORT
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993 AS AMENDED

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