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It is further agreed that following revocation or invalidation of said certificate the applicant will pay fees and expenses as provided in the regulations. Such abatement must be verified by the person conducting the evaluation. PROPOSED CLAIMS ADMINISTRATION OF GROUP SELF-INSURANCE PROGRAM NAME OF PROPOSED ADMlNlSTRATOR S ADMINISTRATlNG AGENCY IES WHO WILL BE RESPONSIBLE FOR DAY-TO-DAY ADMINISTRATION OF WORKERS COMPENSATION SELFINSURANCE PROGRAM FOR APPLICANT EMPLOYER AND PREPARATION OF...
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