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Attending Physician's Report U.S. Department of Labor ...

the U.S. Department of Labor, Office of Workers' Compensation Programs, Room S-3229, 200 Constitution Avenue, NW, Washington, DC 20210, and reference the OMB Control Number 1240-0046. Note: Please do not send the completed form to this office.

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  Programs, Department, Report, Office, Labor, Compensation, Worker, Department of labor, Physician, Attending, Office of workers compensation programs, Attending physician s report

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