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Get EE-11aImpairment Benefits Response Form

T" and we do not hear from you, we will also not develop this issue further. However, you . retain the right to pursue an impairment claim in the future simply by notifying us in writing and sending it to the address at the bottom of the enclosed Form EN-11A. We would appreciate receiving your written response within 30 days. If you have any questions regarding this letter or impairment benefits in general, please do not hesitate to contact me. You may call me at (xxx) xxx-xxxx. Sincerely, Clai.

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