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Code of Regulations, title 8, section 9785. This form must accompany the Doctor s First Report of Occupational Injury or Illness, Form DLSR 5021, a Treating Physician s Progress Report, DWC Form PR-2, or narrative report substantiating the requested treatment. New Request Resubmission Change in Material Facts Expedited Review: Check box if employee faces an imminent and serious threat to his or her health Check box if request is a written confirmation of a prior oral request. Employee I.

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