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Get 2011 Rfa2 Request

Ed Conciliation Decision. (Form C-312.5 or proposed findings required) m. Claimant has discontinued or settled a lawsuit pertaining to the accident/injury of this claim. (documents indicating discontinuance, settlement, or closing statement required) n. Carrier has new or requested documentation regarding (documents required) Other. (Explain fully in space provided below.) **Document reference information (date, name/title, form ID): I certify that this request for Board action is based upon r.

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