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Get MD WCC H28R 2008

Over letter. REQUEST TO THE COMMISSION The undersigned hereby requests that the hearing scheduled for the date and location described below be continued for the reason(s) specified. CLAIM IDENTIFICATION CLAIM NUMBER: CLAIMANT’S NAME: EMPLOYER: INSURER: CURRENTLY SCHEDULED HEARING INFORMATION HEARING DATE: LOCATION: DATE OF HEARING NOTICE: JUSTIFICATION/REASON FOR CONTINUANCE: I hereby certify that a copy of this request and its documentation has been sent to opposing counsel/parties, and .

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