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Get Form 19 Fillable Online

Behalf if filed within two years of the date of injury or occupational disease, and gives the required written notice to the employer if a copy is submitted to the employer within 30 days of the injury. The employer is required by law to file a Form 19 if the employee misses more than one day of work due to the injury or if the medical bills exceed $2,000.00. However, the employer s filing of a Form 19 does not satisfy the employee s obligation to file a claim. In order to ensure the employe.

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