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WORKERS' COMPENSATION BOARD REQUEST FOR …

DATE PREPARED (mm/dd/yy) ... who knowingly makes a false statement or representation as to a material fact for the purpose of avoiding ... This notice may be filed in any case where there has been an award and a direction for continuation of payments and evidence is presented to support the suspension of payments or reduction

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  Material, Request, Board, Compensation, Worker, Prepared, Bene, Has been, Workers compensation board request for

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