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SUBCHAPTER 10L INDUSTRIAL COMMISSION FORMSSECTION .0100 WORKERS COMPENSATION FORMS04 NCAA 10L .0101 FORM 21 AGREEMENT FOR COMPENSATION FOR DISABILITY(a) (Effective until July 1, 2015) The parties
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0101form 21 agreement is used for establishing an agreement between two parties.
The parties involved in the agreement are required to file 0101form 21.
To fill out 0101form 21 agreement, parties need to provide information about the terms and conditions of the agreement.
The purpose of 0101form 21 agreement is to create a legally binding contract between the parties.
Information such as the names of the parties, the agreement terms, and signatures must be reported on 0101form 21 agreement.
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