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Issued by THE LABOR AND INDUSTRIAL RELATIONS COMMISSION FINAL AWARD DENYING COMPENSATION (Affirming Award and Decision of Administrative Law Judge) Injury No.: 02148306 Employee: Mark Strati Employer:
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Obtain a copy of the Issued by Form Labor from your employer or the appropriate government agency.
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Fill out the top section of the form with your personal information, including your name, address, and contact information.
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Provide the name and contact information of your employer or company in the designated section of the form.
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Specify the date the form was issued and signed, ensuring accuracy.
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Indicate the duration of your employment or the project you were involved in, including the start and end date.
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Employees who have been involved in a specific project or job and need to document their work experience.
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