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01×29/2016 LANCASTER COUNTY COMMONWEALTH OF PA Workers Compensation Program: Designated Health Care Providers NOTICE TO EMPLOYEES IN CASE OF CORRELATED INJURIES If you suffer a work related injury,

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10. Submit the completed Lancaster Commonwealth of Pennsylvania form as per the instructions provided. This could entail mailing it to the appropriate address or submitting it online through the official website.

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1. Individuals residing in Lancaster, Pennsylvania, who are mandated to provide specific information or complete certain paperwork related to the state or local government.
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