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Get Ca 16 Authorization For Examination Andor Treatment Form

Authorization for Examination And/or Treatment U S. Department of Labor Employment Standards Administration Office of Workers Compensation Programs The following request for information is required under 5 USC 8101 et. Authorization may be terminated earlier upon written notice from OWCP. For extension of the authorization to treat beyond the 60 day period apply to the office shown in Part A Item 12. USE OF CONSULTANTS AND HOSPITALS 0 You may uti.

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