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UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP PAYMENT NOTICE, AND PAYMENT BOND RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE
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Notice to claimant this is a document served by an employer to inform an employee of their potential eligibility for workers' compensation benefits.
Employers are required to file notice to claimant this.
Notice to claimant this should be filled out with accurate information regarding the employee's injury, the date and time of the injury, and the employer's contact information.
The purpose of notice to claimant this is to ensure that the employee is aware of their rights to workers' compensation benefits.
Information such as the employee's name, date of injury, description of the injury, and employer's contact information must be reported on notice to claimant this.
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