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Employer Certificate and Request for Work History – For Employers Subject to the ADA (RMR-2)

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Employer Certificate and Claims History Release – For Employers NOT Subject to the ADA (RMR-3)

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Claimant’s Request for Personal Workers’ Compensation Records (RMR-4)

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Request for Records – Other than Workers’ Compensation Records (RMR-5)

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Request for Microfilmed Workers’ Compensation Records by Parties (RMR-6)

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Change in Reporting Standards for 4008LD – Workers’ Compensation on Deductible Policy Reports

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Reporting of FROI, Initial Payment, and Change of Status via email

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Industrial Commission Payment of Benefits under Deductible Policies Memorandum

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Rehabilitation Services for Injured Workers

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Mileage Reimbursement

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