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Get Wc 262 2018-2024

Ability benefits are not being paid and file with the Board. When paying weekly temporary partial disability income benefits, based upon an actual return to work file a Form WC-262 with the Board at 13 week intervals or when such benefits are suspended, whichever comes first. When filing the Form WC-262 with the Board, send a copy to the employee and the employee’s counsel, if represented. Board Claim No. Employee Last Name Employee First Name M.I. Date of Injury A. IDENTIFYING INFORMATIO.

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