SUBSEQUENT REPORT - EDI SUBMISSION Forms
| Form Name | SUBSEQUENT REPORT - EDI SUBMISSION |
| Form # | NWCC Form 4 |
| Form Revision | Revised 06/2006 |
| Category | Forms » Legal/Fraud |
| Downloads | |
| Form State | Nebraska |
| Language | English |
| State Description | Note: Companies that have signed a Trading Partner Agreement with the Nebraska Workers' Compensation Court may use this form only with the court's permission. |
| Claimwire Description | n/a |