Workers' Compensation - Claims Application Form - Authorization for Release of Information
Altering the entities to which a claimant is required to authorize the release in a claim application filed with the Workers' Compensation Commission to include the Uninsured Employers' Fund and the Subsequent Injury Fund; altering the information which a claimant is required to authorize the release in a claim application to include additional claims filed by the claimant and information in the custody of the Commission; etc.
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