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A determinaci n en su caso es necesario que usted presente debidamente contestada y certificada por un doctor en medicina, la informaci n abajo requerida. S rvase devolver este formulario a esta oficina con la mayor brevedad posible. Firma del Examinador Esta solicitud de informaci n m dica no constituye un requerimiento para que se le practique un examen m dico al solicitante ya que el Negociado de Seguridad de Empleo de Puerto Rico no est autorizado a pagar ning n m dico por ex me.

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