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Complete all required EDI transactions in accordance with the provisions of the EDI Implementation Guide. Employee's signature.EMPLOYEE. EMPLOYER. INSURER or THIRD PARTY ADMINISTRATOR (if self-insured). LIBC-754 REV 04-18 (Page 1). You may use this form to request an informal conference to review a proposed assessment or refund denial. Under this program, an employer and OSHA can enter into an Informal Settlement. The completed form will be maintained in the case file in accordance with Field Operations Manual (FOM) Chapter XVI –. If you decide to request an informal conference, please complete the attached notice at the bottom of this letter. Read Section 67-804 - Informal Conference, S.C. Code Regs. 7 § 219, see flags on bad law, and search Casetext's comprehensive legal database.