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Oklahoma Request for Payment of Charges for Health or Rehabilitation Services or Notice of Appeal of Administrative Order

State:
Oklahoma
Control #:
OK-19-WC
Format:
PDF
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Description

Notice of Appeal of Administrative Order which also includes a request for payment of charges for medical or rehabilitation services. This is an official form from the Oklahoma Workers Compensation Court, which complies with all applicable laws and statutes. USLF amends and updates the forms as is required by Oklahoma statutes and law.

How to fill out Oklahoma Request For Payment Of Charges For Health Or Rehabilitation Services Or Notice Of Appeal Of Administrative Order?

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Oklahoma Request for Payment of Charges for Health or Rehabilitation Services or Notice of Appeal of Administrative Order