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Get NC Form 33 2001

Doctors outside the county of hearing are not required to attend this hearing. NAME ADDRESS MAIL TO FORM 33 2/01 PAGE 1 OF 2 NCIC - DOCKET SECTION 4336 MAIL SERVICE CENTER RALEIGH NC 27699-4336 MAIN TELEPHONE 919 807-2500 HELPLINE 800 688-8349 WEBSITE HTTP //WWW.IC. North Carolina Industrial Commission IC File REQUEST THAT CLAIM BE ASSIGNED FOR HEARING Emp* Code Carrier Code Carrier File The Use Of This Form Is Required Under The Provisions of The Workers Compensation Act Employer FEIN Employee .

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