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APPEAL NO. 031202 FILED JUNE 26, 2003, This appeal arises pursuant to the Texas Workers Compensation Act, TEX. LAB. CODE ANN. 401.001 et seq. (1989 Act). A contested case hearing (CCH) was held on
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To fill out www.tdi.texas.gov/appeals/2021cases, follow these steps: 1. Go to the website www.tdi.texas.gov/appeals/2021cases 2. Click on the 'Fill Out Appeal Form' button. 3. Provide all the required information such as your name, contact details, case details, and any supporting documents. 4. Double-check all the information you have entered for accuracy. 5. Finally, click on the 'Submit' button to complete the appeal form.

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This appeal arises pursuant to the Texas Department of Insurance (TDI) appeals process.
Anyone who wishes to challenge a decision made by the TDI.
The appeal form can be filled out online on the TDI website.
The purpose is to provide individuals with a formal process to dispute TDI decisions.
The appeal form requires details about the decision being challenged and the reasons for the appeal.
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