STATEMENT OF SELF-RESTRICTION TO PART-TIME WORK (Spanish) Forms
| Form Name | STATEMENT OF SELF-RESTRICTION TO PART-TIME WORK (Spanish) |
| Form # | WKC-12698-E-S |
| Form Revision | (R. 09/2024) |
| Category | Letters » Return To Work/Voc Rehab |
| Downloads | |
| Form State | Wisconsin |
| Language | Spanish |
| State Description | n/a |
| Claimwire Description | n/a |