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Get LA LWC 77 2012

Ive a copy of this form and a copy of the “Instructions to the Worker” to the employee within 72 hours, and retain a copy for your files. MAIL or FAX TO – Louisiana Workforce Commission Adjudication Support Unit Post Office Box 91253 Baton Rouge, LA, 70821-9253 Fax (225) 346-6068 File online at: http://www.laworks.net State Failure to submit this notice within the specified time limits may forfeit your right to appeal. It must be submitted within 72 hours after the worker’s separatio.

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