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This document contains the decision regarding the termination of compensation for appellant Donna D. Sampson by the Office of Workers’ Compensation Programs based on her refusal to accept suitable

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3. Attorneys or legal representatives involved in wage and hour claims may also require this form to gather necessary information for their clients' cases.

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The 99-0863doc - dol is a document required by the Department of Labor (DOL) for certain reporting purposes.

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