PRACTITIONER’S REPORT ON ACCIDENT OR INDUSTRIAL DISEASE IN LIEU OF TESTIMONY (Spanish) Forms
| Form Name | PRACTITIONER’S REPORT ON ACCIDENT OR INDUSTRIAL DISEASE IN LIEU OF TESTIMONY (Spanish) |
| Form # | WKC-16-B-E-S |
| Form Revision | (R. 09/2024) |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Wisconsin |
| Language | Spanish |
| State Description | n/a |
| Claimwire Description | n/a |