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Search results with tag "Request for consultative"

REQUEST FOR CONSULTATIVE RATING - California …

www.dir.ca.gov

REQUEST FOR CONSULTATIVE RATING DEU Use Only Indicate type of request: Mail-in Walk-in INSTRUCTIONS FOR MAIL-IN’S: 1. Attach a photocopy of the medical report(s) for which a rating is being requested, if not previously on file. Do not send original reports. 2. Serve a copy of this request on the representative for the opposing party

  Request, Consultative, Request for consultative

Request for Consultative Ratingver108-28-08 Designer

www.dir.ca.gov

REQUEST FOR CONSULTATIVE RATING. State of California Division of Workers' Compensation Disability Evaluation Unit. DEU Use Only. Indicate type of request: INSTRUCTIONS FOR MAIL-IN’S: 1. Attach a photocopy of the medical report(s) for which a rating is being requested, if not previously on file. Do not send original reports. 2.

  California, Request, Consultative, Request for consultative

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