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		(c20) First Report of Work Injury - 12/07
		(c22) Notice of First Payment - 12/07
		(c23) Notice of Denial of Claim for Compensation - 12/07
		(c26) Notice of Change or Termination of Benefits -12/07
		(c27) Notice of Controversy - 8/99
		(c28) Notice of Lawsuit - 12/07
		(c29) Final Report of Payment - 12/07
		(c30) Attending Physicians Report - 12/07
		(c30a) Final Medical Report - 12/07
		(c31) Medical Waiver and Consent - 8/09
		(c32) Medical Report in Lieu of Deposition - 12/07
		(c33) Case Management Notification - 12/07
		(c34) Case Management Closure - 12/07
		Case Management Closure Instructions - 12/07
		(c35) Utilization Review Notification - 12/07
		(c36-37) Utilization Review Closure - 12/07
		(c35a) Notice Of Appeal Rights For A Utilization Review Denial - 10/09
		Form Completion Instructions - N/D
		(c38) Case Manager Registration - 12/07
		(c39) Provider Registration for Utilization Review - 12/07
		(c40a) Request for Assistance - 12/07
		(c40b) Request for Benefit Review Conference - 4/08
		(c40r) Benefit Review Conference Certificate of Readiness. - 12/07
		(c41) Wage Statement - 1/08
		(c42) Agreement Between Employer/Employee Choice Of Physician – 7/08
		(c42sp) La ELECCION del EMPLEADO DE MEDICO - 3/08
		(c42g) Agreement Between Employer/Employee Choice Of Physician Form - 3/04
		(WC Certificate) Posting Notice - 8/05
		(WC Certificate sp) Seguro de Accidentes de Trabajo de Tennessee - 3/06
		(edimemotocarrier) Certificate of Insurer. Note: Carriers are now required to file electronically through NCCI. - 4/01
		(edimemotocarrier) Notice of Cancellation, Reinstatement, Endorsement. Note: Carriers are now required to file electronically through NCCI. - 4/01
		(CMURguidelines) Case Management And/Or Utilization Review Guidelines - N/D
		(i-3) Reduction in Workforce - 12/07
		(i-4) Sole Proprietor/Partner Election - 12/07
		(i-5) Sole Proprietor/Partner Withdrawal of Election - 12/07
		(i-6) Corporate Officer Election Not to Accept - 12/07
		(i-7) Corporate Officer Withdrawal of Election Not to Accept - 12/07
		(i-8) Exempt Employers Notice of Acceptance - 12/07
		(i-9) Exempt Employers Withdrawal of Notice of Acceptance - 12/07
		(i-10) Heart Waiver of Notice of Acceptance - 12/07
		(i-11) Occupational Disease Waiver - 12/07
		(i-12) Epilepsy Waiver - 12/07
		(i-13) Waiver Withdrawal - 12/07
		(i-14) Leased Operator/Common Carrier Election - 12/07
		(i-15) Subcontractor/General Contractor Election - 12/07
		(i-16) Leased Operator/Common Carrier Withdrawal of Election - 12/07
		(i-17) Subcontractor/General Contractor Withdrawal of Election - 12/07
		(i-18) Notice of Discontinuance of Form I-18 as of 9-07-04
		(sd1) Statistical Data Form - 12/07
		Instructions for Statistical Data Form SD-1 - 6/07
		(CMURguidlines) Case Management and Utilization Review Form Guidelines - N/D
		(MIR6th report) Medical Impairment Rating (MIR) - 6/08
		(MIR appl) Application for Medical Impairment Rating - 12/07
		(MIR appl registry) Application for MIR Appointment - 12/07
		(MIR waiver) MIR Medical Waiver and Consent Form - 12/07
		(MIR report) MIR Impairment Rating Report - 12/7
		(dfapp) Drug-Free Workplace Premium Credit Program Application Form - 6/08
		(rsa) Request for Settlement Approval - 4/05
		(sd1) Workers Compensation Statistical Data Form - 10/06
		(WC Certificate) Workers Compensation Certificate - 10/07
		(WC Certificate sp) Workers Compensation Certificate (Spanish) - 10/07
		(wc request invest) Request For Investigation - 12/07
		(wc request invest sp) Request For Investigation (Spanish) - 12/07

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