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Evidence Required in Support of a Claim U.S. Department of ...

Evidence Required in Support of a Claim U.S. Department of ...

www.dol.gov

Office of Workers' Compensation Programs Evidence Required in Support of A Claim for Asbestos-Related Illness If you are filing a claim based on exposure to asbestos. Use this checklist to identify the information needed from you and your em-ploying agency. All of the following information should be submitted with Form CA-2.

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