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NDINGS AND DECISION PART I: GENERAL INFORMATION Requestor s Name and Address: MFDR Tracking #: Previous Tracking #: 4600 TEXAS GROUP 2777 ALLEN PARKWAY STE 460 HOUSTON TX 77019 Respondent Name and Box #: CORPUS CHRISTI ISD Carrier Rep Box #: 17 M4-09-3525-02 M4-09-3525-01 DWC Claim #: Injured Employee: Date of Injury: Employer Name: Insurance Carrier #: PART II: REQUESTOR S POSITION SUMMARY AND PRINCIPAL DOCUMENTATION The Requestor did not submit a position summary along with the DWC060.

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  • M4-09-3525-02
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  • jan
  • DWC
  • mfdr
  • Caldwell
  • C-3
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