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Get AU D2049 2016

Ction to be filled in by the claimant Please fill out one sheet per injury or disease for which you are now claiming liability. If this is a reassessment, do not complete this sheet. Please detail the injury or disease you are now claiming and describe as fully as you can the signs and symptoms that make you notice the disability (e.g. pain in lower back, shortness of breath, loss of range of movement in right arm). You are requested to ask your doctor to fill in the Medical Practitioner section.

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