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Complete and use the button at the end to print for mailing. SDE Form 0783DLR203M Rev. 09/12XNAME:V3HELPSD DEPARTMENT OF LABOR AND REGULATION UNEMPLOYMENT INSURANCE DIVISION PO BOX 4730 ABERDEEN,
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Provide accurate information about your medical history and any existing medical conditions.
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dlr-uid-203m-medical statement of ability is a form used to assess an individual's medical capabilities and limitations.
Individuals who are applying for certain licenses or positions that require medical clearance may be required to file dlr-uid-203m-medical statement of ability.
The form typically requires the individual to provide information about their medical history, current health status, and any specific limitations or accommodations needed.
The purpose of dlr-uid-203m-medical statement of ability is to ensure that individuals are physically capable of performing the duties required for a specific license or position.
Information such as medical history, current health conditions, medications, and any restrictions on physical activity must be reported on dlr-uid-203m-medical statement of ability.
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