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This document is a decision and order from the U.S. Department of Labor's Employees’ Compensation Appeals Board regarding the case of Claudio Vazquez and the Department of Health & Human Services,

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Keep a copy of the filled-out form for your records. Submit the original form to the appropriate entity, such as your employer or the Department of Labor, according to the instructions provided.

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01-0416doc - dol is a document that is used for reporting certain information to the Department of Labor.

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The individuals or organizations that are required to file 01-0416doc - dol depend on the specific regulations and requirements set forth by the Department of Labor.

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