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D the cover sheet so the information in your forms can be read by our Electronic Adjudication Management System (EAMS). You may complete the attached document cover sheet using a typewriter or with block printing. This form can also be completed online at http://www.dir.ca.gov/dwc/FORMS/EAMS%20Forms/ADJ/DWCCA 10232 1.pdf. Use the attached sample form as a guide. If you are submitting a form to your local WCAB office for the first time, check the yes box next to the question: Is this a new cas.

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