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		(ic-45) Employer's First Report of Injury or Illness - 6/09
		(ic-85) Employer's Supplementary or Final Report of Injury - 6/09
		(ia-1) Workers' Compensation - First Report of Injury or Illness - 1/02
		(ia-2) Workers' Compensation - Subsequent Report - 1/99
		(ic-01) Application for Adjustment of Claim (Application for Benefits) - 12/04
		(ic-04) Notice of Motion and Order - 12/04
		(ic-05) Settlement Contract Lump Sum Petition and Order - 12/04 Note: This form is on pink paper
		(ic-06) Appearance of Representative - 12/04
		(ic-07) Petition for an Immediate Hearing under Section 19(b) of the Act - 12/04 Note: This form is on blue paper
		(ic-08) Response to Petition for an Immediate Hearing under Section 19(b) of the Act - 12/04 Note: This form is on goldenrod paper
		(ic-09) Request for Hearing - 12/04
		(ic-10) Attorney Representation Agreement - 12/04
		(ic-11) Petition for Review of Arbitration Decision - 12/04 Note: This form is on orchid paper
		(ic-11a) Petition for Review of Arbitration Decision under Section 19(b-1) of the Act - 12/04 Note: This form is on orange paper
		(ic-14) Petition for Review under Section 19(h) or 8(a) of the Act - 12/04 Note: This form is on aqua paper
		(ic-14a) Petition for Immediate Hearing under Section 19(b-1) of the Act - 12/04 Note: This form is on gray paper
		(ic-14b) Response to Petition for Immediate Hearing under Section 19(b-1) of the Act - 12/04 Note: This form is on green paper
		(ic-14d) Order to Dismiss or Withdraw Petition under Section 19(b-1) of the Act - 12/04
		(ic-15) Proof of Service - 12/04 Note: This form is on pink paper
		(ic-16) Subpoena - 11/08 Note: This form is on yellow paper
		(ic-17) Motion to Voluntarily Dismiss Case - 12/04
		(ic-19) Order to Dismiss Case for Want of Prosecution - 12/04
		(ic-23) Petition to Reinstate Case - 12/04
		(ic-26) Notice of Change of Address - 9/08
		(ic-27) Motion to Dismiss Attorney of Record - 12/04
		(ic-28) Motion to Withdraw as Attorney of Record - 12/04
		(ic-29) Stipulation to Substitute Attorneys - 12/04
		(ic-31) Rehabilitation Plan - 12/04
		(ic-32) Notice Of Rejection Of Settlement Contract - 3/06
		(ic-33) Dedimus Potestatem - 12/04
		(ic-34d) Decision - 12/04
		(ic-34o) Order - 12/04
		(ic-34s) Order Removing Settled Case From Call - 4/08
		(ic-36) Request for Voluntary Arbitration - 12/04
		(ic-41) Arbitration Information Sheet - 6/05
		(ic-42) Request for Verification of Employer's Insurance Coverage - 11/06
		(ic-pn) Poster: Workplace Notice - 12/04
		(ic-pn-sp) Compensacion A Los Trabajadores - 12/04
		(ic-arb-dec) Arbitration Decision - 6/08
		(arb-19b) 19(b) Arbitration Decision - 6/08
		(arb-19b-1) 19(b1) Arbitration Decision - 6/08
		(ic-ac) Application For IWCC Attorney Code Number - 8/06
		(arb-fatal) Arbitration Decision Reguarding a Fatal Claim - 6/08
		(arb-N&E) Arbitration Decision Reguarding The Nature and Extent of the Injury - 6/08
		(ac-01) Rate Adjustment Fund And Second Injury Fund Assessment Transmittal Form - 1/07
		(ic-50) Application for Self-Insurance - 5/09
		(ic-50s) Application for Self-Insurance for Subsidiary or Affiliate or Current Self-Insured Company - 5/09
		(ic-51) Petition for Reconsideration of Application for Self-Insurance - 5/09
		(ic-52) Self-Insurer's Surety Bond - 5/09
		(ic-53) Self-Insurer's Surety Bond: General Purpose Rider - 5/09
		(ic-55) Self-Insurer's Surety Bond: Self-Administered Claims Endorsement - 5/09
		(ic-56) Self-Insurer's Surety Bond: Cancellation Amendment and Acknowledgement - 12/06
		(ic-62) Self Insurer's Escrow Agreement - 5/09
		(ic-63) Self Insurer's Escrow Agreement Amendment - 5/09
		(ic-64) Self Insurer's Escrow Agreement: Release of Escrow Deposit - 5/09
		(ic-72) Self-Insurer's Agreement to Post Letter of Credit - 5/09
		(ic-73) Self-Insurer's Agreement to Post Letter of Credit: Schedule of Supplement - 5/09
		(ic-80) Certificate of Excess Insurance - 5/09
		(ic-81) Multiple Security Endorsement - 5/09
		(ic-90) Parent Guaranty Agreement in Connection with Self-Insurance Privilege - 5/09
		(ic-91) Parent Guaranty Agreement in Connection with Self-Insurance Privilege: Amendatory Schedule of Additional Employers - 5/09

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