Legal Forms >> Minnesota >> Workers' Compensation >> Claims and Reports
Form #:AR04 Formerly form 3208. Annual claim for reimbursement from the Minnesota Second Injury Fund, for worker's compensation injuries. (Downloadable PDF)
Name:Annual Claim for Reimbursement from Second Injury Fund (Downloadable PDF) Form Number: AR04 State:Minnesota Statute:N/A Form Category:> Claims and Reports' itemprop="category">Claims and Reports
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