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Instructions: Complete all items below and on reverse, attach additional sheet if necessary. Please print or type.Statement Of Registration (Section 13n-WCL) Form. This is a New York form and can be use in Workers Compensation. Edit, sign, and share statement ime online. Psychologists. 13n. Mandatory registration of entities which derive income from independent medical examinations. 13-o. The total unfinished business for the full thirteen -years from. Please refer to the instructions when completing this Registration Statement. Section A: Submitting Party Information (Required).