Legal Forms >> Minnesota >> Workers' Compensation >> Claims and Reports
Form #:IS03 Former form 3209. This form is to be submitted annual for disability, supplementary, or dependency benefits. Information to be provided on the form includes the balance carried forward (for either a total or partial payment, whether permanent or temporary), attorney fees paid or still withheld, interest paid, and other details.
Name:Interim Status Report (Downloadable PDF) Form Number: IS03 State:Minnesota Statute:N/A Form Category:> Claims and Reports' itemprop="category">Claims and Reports
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