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BRB No. 120567 BLA
ANN B. STICK
(Survivor of and on behalf of JOHN A.
STICK)
ClaimantRespondent
v.
HELEN MINING COMPANY
and
VALLEY CAMP COAL COMPANY
Employer/CarrierPetitioners
DIRECTOR, OFFICE OF
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What is 12-0567 - us department?
12-0567 is a specific form used by the US Department of [specific department name], typically for reporting or compliance purposes.
Who is required to file 12-0567 - us department?
Individuals or entities that meet specific criteria set forth by the US Department of [specific department] are required to file form 12-0567.
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To fill out 12-0567, follow the instructions provided on the form, ensuring all relevant information is accurate and complete.
What is the purpose of 12-0567 - us department?
The purpose of 12-0567 is to collect necessary information for [specific purpose, e.g., compliance, reporting] as mandated by the US Department of [specific department name].
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The form requires reporting information such as [specific data fields], as outlined in the filing instructions.
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