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BRB No. 130275 JASON HODGKIN ClaimantRespondent v. SERVICE EMPLOYEES INTERNATIONAL, INCORPORATED and INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA Employer/CarrierPetitioners DIMENSIONS INTERNATIONAL
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This document is a form required to be filed with the Labor and Health Administration (LHCA) for specific reporting purposes.
Employers and organizations subject to LHCA regulations are required to file this document.
The form must be completed with accurate information regarding the specific reporting requirements outlined by LHCA.
The purpose of this document is to gather important data and information for LHCA regulatory purposes.
The document must include detailed information related to the specific reporting requirements specified by LHCA.
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