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Your employer must fill out and sign the "employer" portion of the form and give the completed form to a claims administrator. 242 Information necessary for a complete settlement application.We must receive a complete Certification of Readiness form before we can schedule this case for a hearing. This online form explains all the documents you will need to submit your claim and it will be available for up to 30 days for you to complete. If an injured employee determines to file an Application for Hearing, they may also request to participate in a Claims Resolution Conference. Older adults. Hearing assessment and ear examination can be conducted in clinical and community settings. (a) The insurer must reimburse the worker for other claim- related expenses based on actual cost. The 6-year period shall not apply to contracts awarded prior to October 1,1995, or to a Government claim based on a contractor claim involving fraud. 33. Fill out the form, save, and submit to Clerk of the Court.