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Federal Insurance Contributions Act tax / Objection / Law / Economy of the United States / Government / Defense Base Act / Employment compensation / Social Security / Taxation in the United States


Objection to Tentative Order Determining the Percentage of Permanent Partial Disability Compensation Instructions * Print or type all information.
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Document Date: 2014-12-10 11:41:08


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File Size: 41,49 KB

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Organization

Industrial Commission / OF SERVICE / /

Position

representative INFORMATION FROM TENTATIVE ORDER Date / WORKER INFORMATION Injured worker name Claim number Social Security Number Date / injured worker / representative / district hearing officer / non-attorney representative / /

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