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Filed with any entity requesting to be a certificate holder including a government agency issuing a permit, license or contract. This job aid contains instructions for completing the Independent Dispute Resolution (IDR) Notice of.Initiation web form. Circumstances When an Employer May Require a Certification. Health Care Providers. Number on their administrative conference notice. Review the Dial-in administrative conference instructions for further detail. Certificate for Self-Insured Employers can be found here. Mail your appeal to the return address shown on the decision notice. Notify your employer immediately.