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This document details the decision and order of the Employees' Compensation Appeals Board regarding the case of Anthony A. Polich and the Department of the Treasury, Internal Revenue Service, concerning

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1. Gather all the necessary information required for the form, such as personal details, employment history, and income information.
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3. Begin by entering your personal information, including your name, address, contact details, and social security number, in the designated fields.
4. Provide accurate information about your employment history, including your current and previous employers, job titles, dates of employment, and salary details.
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3. Anyone seeking legal or financial assistance related to Labor Department programs or initiatives may be required to submit this form as part of the application process.

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The 96-0419doc - dol is a document used by the Department of Labor (DOL) for reporting certain information.

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