![]() |
1429 Walnut Street, Ste. 1300, Philadelphia, PA 19102 • Toll Free: 866-657-7318 • Local: 215-268-7241
|
|
||
![]() |
|
|||
![]() |
|
|||
|
|
||||
|
|
|
|
||
Temporary Notice of Compensation Payable This document provides an injured worker protection under the Pennsylvania Workers' Compensation Act, but your employer or its insurance carrier may revoke this and issue a denial within 90 days. |
|
|||
|
|
||||
|
|
|
|||
![]() |
|
|||
|
|
|
|
|
|