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EMPLOYER/MAYOR MAIL TO: 1. Employee Social Security No. OFFICE OF WORKERS' COMPENSATION POST OFFICE BOX 94040 BATON ROUGE, LA 70804-9040 2. Mayor Claim No.: 3. Date of Injury/Illness 4. Date of Notice:
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What is sebttd form?
The sebttd form is a specific form used for reporting certain information to the relevant authority.
Who is required to file sebttd form?
Any individual or entity who meets the criteria set by the authority is required to file the sebttd form.
How to fill out sebttd form?
To fill out the sebttd form, you need to gather the required information and follow the instructions provided by the authority. The form may be available online or in paper format.
What is the purpose of sebttd form?
The purpose of the sebttd form is to collect specific information from individuals or entities for regulatory or statistical purposes.
What information must be reported on sebttd form?
The specific information required to be reported on the sebttd form may vary depending on the authority's regulations. Generally, it may include details such as personal or business information, financial data, and other relevant information.
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