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BRB No. 030214 BLA GEORGE T. DOUGLAS Claimant Petitioner v. SOUTHERN OHIO COAL COMPANY EmployerRespondent DIRECTOR, OFFICE OF WORKERS COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR PartyinInterest)))))))))))))))
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Step 1: Start by providing your personal information such as your name, address, phone number, and email address.
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Step 2: Next, indicate whether you are the claimant or petitioner in the case.
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Step 3: Provide details about the claim or petition, including the nature of the dispute, relevant dates, and any supporting documentation.
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Step 4: Specify the relief or resolution you are seeking and any other relevant information.
05
Step 5: Review the form for accuracy and completeness before submitting it to the Department of Labor (DOL).
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Step 6: Follow the instructions provided by the DOL for submitting the form, whether it's through mail, online submission, or in-person delivery.

Who needs claimant- petitioner - dol?

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Individuals who are involved in a legal dispute and wish to file a claim or petition with the Department of Labor (DOL) as either the claimant or petitioner.

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