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Caso : N mero Nombre del trabajador : : N mero : Tel fono : Direcci n : (ADDRESSEE) Tiene preguntas? Comun quese con su trabajador. Audiencia con el Estado: Si usted cree que esta acci n est equivocada, puede solicitar una audiencia. En la siguiente p gina se le explica c mo solicitarla. Es posible que sus beneficios no cambien si usted solicita una audiencia antes que esta acci n entre en vigor. COMUN QUESE INMEDIATAMENTE CON SU TRABAJADOR SI USTED NO EST DE ACUERDO C.

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