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How to complete a document separator sheet

Information & Assistance Unit guide 18 How to complete a document separator sheet In addition to the document cover sheet (see guide 17), forms filed with your local Workers Compensation Appeals Board (WCAB) district office need a document separator sheet . We need the separator sheet so information in the form that follows it can be read by our Electronic Adjudication Management System (EAMS). The separator sheet is required even if you are only filing one document . This means you will be submitting at least three documents, in the following order, with anything you file at the WCAB: 1. A document cover sheet 2. A document separator sheet 3. The form you need to file If you are filing supporting documents with your form you will need separator sheets to identify them. You may complete the attached separator sheet using a typewriter or with block printing.

confirmation of payment 2004‐2006: adj: legal docs; death certificate: adj; legal docs declaration of readiness to proceed: adj: legal docs; declaration of …

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