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Get DoL CA-20 1999-2024

OSPITAL BILLS, BE SUBMITTED ON THE AMERICAN MEDICAL ASSOCIATION HEALTH INSURANCE CLAIM FORM, HCFA 1500/OWCP-1500a. INSTRUCTIONS TO PHYSICIAN FOR COMPLETING ATTENDING PHYSICIAN'S REPORT 1. COMPLETE THE ENTRIES 1-32 ON THE FORM; AND 2. IF DISABILITY HAS NOT TERMINATED, INDICATE IN ITEM 17; AND 3. SEND THE FORM AND YOUR BILL TO: OFFICE OF WORKERS' COMPENSATION PROGRAMS DOL DFEC Central Mailroom PO Box 8300 London, KY 40742-8300 Public Burden Statement We estimate that it will take an average of 5.

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