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Get LA OWCA SIB Form D 2017-2024

He appropriate box next to each.  Every illness/injury requires a Yes (Y) or No (N) answer.]   Y  N   Y  N   Y  N   Y  N       Diabetes       Cerebral Palsy       Arthritis       Heart Disease/Heart Attack       Silicosis       Tuberculosis       Parkinson’s       Congestive Heart Failure       Varicose Veins       Multiple Sclerosis       Brain Dama.

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