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CCFORM3CWORKERS COMPENSATION COMMISSION 1915 NORTH STILES AVENUE OKLAHOMA CITY, OK 73105 Send original to the Workers Compensation Commissioning re Claim of: Full Name of Claimant (Injured Employee)THIS

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What is cc-form-36a this space for?

cc-form-36a is used for reporting specific financial information.

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Fill out the form with accurate and complete financial information as per the instructions provided.

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The purpose of cc-form-36a is to collect financial data for regulatory and compliance purposes.

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Financial data such as income, expenses, assets, liabilities, and other relevant information.

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