This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on October 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Download a fillable version of Form CA-12 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.
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