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March 1 2017 CIRCULAR LETTER NO. 2309 To All Members and Subscribers of the WCRIBMA DIA s Administrative Bulletin - Form 105 Revision Attached is a copy of an Administrative Bulletin issued by the Department of Industrial Accidents dated February 28 2017 announcing a revision to the Form 105 Agreement to Extend 180 Day Pay Without Prejudice Period. McCarthy General Counsel Attachment 101 ARCH STREET 5TH FLOOR BOSTON MASSACHUSETTS 02110-1103 617 439-9030 FAX 617 439-6055 www. The new Form 105...
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