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REQUEST FOR ASSISTANCE State Form 45442 (R / 1194) PLEASE PRINT OR TYPE Please complete and return to: WORKER IS COMPENSATION BOARD ATTN: Ombudsman Division 402 West Washington Street, Room W196 Indianapolis,
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What is 45442pdf request for assistance?
45442pdf request for assistance is a form used to request help or support.
Who is required to file 45442pdf request for assistance?
Anyone who needs assistance can file 45442pdf request for assistance.
How to fill out 45442pdf request for assistance?
To fill out 45442pdf request for assistance, you need to provide your personal information and details of the assistance required.
What is the purpose of 45442pdf request for assistance?
The purpose of 45442pdf request for assistance is to seek help or support.
What information must be reported on 45442pdf request for assistance?
You must report your personal information and details of the assistance needed on 45442pdf request for assistance.
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