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Get Department Of Labor Objection To Discontinuance Form

E or confidential data you supply on this form, and in communications or proceedings that occur because you file this form, will be used to process and resolve your workers compensation dispute. The data will be used by department of labor and industry (department) staff who have authorized access to the data, and may be used for state investigations and statistics. You may refuse to supply the data, but if you refuse your claim may be delayed or denied, or the form may be returned to you. Th.

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