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		(wc001) Employer's First Report of Injury - 7/09
		(wc002) Notice of Payment or Suspension of Benefits - 7/09
		(wc002a) Notice of Payment or Suspension of Death Benefits - 7/07
		(wc003) Notice to Controvert - 7/07
		(wc004) Case Progress Report - 7/07
		(wc006) Wage Statement - 7/09
		Application for Self-Insurance* (Packet available through Licensure & Quality Assurance Division (404) 656-4893 - 7/07
		(wc010) Notice of Election or Rejection of Workers' Compensation Coverage - 7/06
		(wc011) Standard Coverage Form Group Self-Insurance Fund Members - 7/06
		(wc012) Request for Copy of Board Records - 7/08
		(wc014) Notice of Claim/Request for Hearing/Request for Mediation - 7/07
		(wc015) Attorney Affidavit for No-Liability Stipulations - 7/09
		(wc020a) Medical Report - 7/07
		(wc025) Application for Lump Sum/Advance Payment - 7/08
		(wc026) Consolidated Yearly Report of Medical Only Cases and Annual Payments on Indemnity Claims - 7/09
		(wc100) Request for Settlement Mediation - 7/07
		(wc102) Requests of Documents to Parties - 7/07
		(wc102b) Notice of Representation - 7/07
		(wc102c) Attorney Leave of Absence - 7/07
		(wc102d) Motion/Objection to Motion - 7/07
		(wc104) Notice to Employee of Medical Release to Return to Work with Restrictions or Limitations - 7/09
		(wc108a) Attorney Fee Approval - 7/07
		(wc108b) Attorney Withdrawal/Lien - 7/07
		(wc121) Notice of Use of Servicing Agent - 7/08
		(wc131) Permit to Write Insurance - 7/09
		(wc131a) Permit to Write Insurance Update - 7/07
		(wc200a) Change of Physician/Additional Treatment by Concent - 7/07
		(wc200b) Request/Objection for Change of Physician/Additional Treatment - 7/07
		(wc205) Request for Authorization of Treatment or Testing by Authorized Medical Provider - 7/07
		(wc206) Notice of Intent to Become a Party at Interest - 7/07
		(wc207) Authorization and Consent to Release Information - 7/09
		Application for Certification of WC/MCO* (Packet available through Managed Care & Catastrophic Disability Division (404) 656-3784) - 7/07
		(wc226a) Petition for Appointment of Temporary Guardianship of Minor - 7/07
		(wc226b) Petition for Appointment of Temporary Guardianship of Legally Incapacitated Adult - 7/07
		(wc240) Notice to Employee of Offer of Suitable Employment - 7/09
		(wc240a) Job Analysis - 7/07
		(wc243) Credit/Reduction in Benefits - 7/07
		(wc244) Notice of Intent to Become a Party of Interest - 7/07
		(wc262) Wage Documentation of Temporary Partial Disability Payments - 7/07
		(change of address) Change of Address Form - 7/07
		(crr) Catastrophic Rehab Release - 7/07
		(rights) Bill of Rights (Must be printed and posted on legal size (8½ x 14) pink paper) - 7/07
		(rights sp) Bill of Rights Spanish (Must be printed and posted on legal size (8½ x 14) pink paper) - 7/07
		(p1) Panel of Physicians (Must be printed and posted on legal size (8½ x 14) pink paper) - 7/06
		(p1 sp) Panel of Physicians (Espanol) (Must be printed and posted on legal size (8½ x 14) pink paper) - 7/06
		(p2) Conformed Panel of Physicians (Must be printed and posted on legal size (8½ x 14) pink paper) - 7/06
		(p2 sp) Conformed Panel of Physicians in Spanish (Must be printed and posted on legal size (8½ x 14) pink paper) - 7/06
		(p3) WC/MCO Panel Must be printed and posted on legal size (8½ x 14) pink paper - 7/06
		(p3 sp) WC/MCO Panel (Espanol) Must be printed and posted on legal size (8½ x 14) pink paper - 7/06
		(r1) Request for Rehabilitation - 7/07
		(r1catee) Request for Catastrophic Designation - 7/07
		(r2) Rehabilitation Transmittal Form - 7/07
		(r2a) Individualized Rehabilitation - 7/07
		(r3) Request for Rehabilitation Closure - 7/07
		(r5) Request for Rehab Conference - 7/07
		(subpoena) Subpoena - 7/09

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