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United States Department of Labor Employees Compensation Appeals Board ___ T.H., Appellant and DEPARTMENT OF THE ARMY, RED RIVER ARMY DEPOT, Texarkana, TX, Employer ___))))))))Appearances: Appellant,

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21-0362 is a form used to report certain information to a specific department.

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The purpose of 21-0362 is to gather specific information for the department's records or analysis.

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The information required to be reported on 21-0362 will vary depending on the department's regulations.

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