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Montana Authorization for the Release of Subsequent Injury Fund Certification Status
SKU: FFMT185 |   E-mail this product to a friend
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Reminder: After you have selected your free form(s) and added it to your cart, you are to complete the checkout process. You will not be charged for the form(s). Upon completion of the checkout process, you will be sent an email with a link to download your free form(s). For more information click here.
 
 
Product Description

The Subsequent Injury Fund is intended as an incentive to employers to hire and retain persons having physical restrictions or impairments that may be a barrier to employment. Certification is entirely voluntary and may NOT be used as a means of discrimination against you. In order to receive the benefits of the Fund employers and insurers must be advised the worker has been certified under the Fund. Please complete the following authorization if you would like to notify any of the parties below.


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