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This document is a decision and order from the U.S. Department of Labor regarding a claim by Alice Cobble against the U.S. Postal Service for an employment-related back injury. The document outlines

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1. Begin by entering your personal information, including your full name, address, and contact details in the designated spaces provided.
2. Fill in the section related to your employment information, such as your current job title, employer's name, and address.
3. Provide details of your work schedule, including the days and hours you typically work per week.
4. Indicate if you are requesting any specific accommodations or modifications to your work schedule based on your medical condition or disability.
5. If applicable, provide information about any previous requests for accommodations and their outcomes.
6. Sign and date the form to certify that the information provided is accurate and complete.

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1. Employees who require reasonable accommodations or modifications to their work schedule due to a medical condition or disability may need to fill out 02-2282doc - dol form.
2. This form is typically used by individuals who are seeking assistance or changes in their work environment to ensure equal opportunities and access to employment.
3. Employers may also require their employees to fill out this form if they need to document any accommodation requests or have a formal record of the employee's information.

Note: It is important to consult with your employer or the appropriate authority to ensure that you are following the correct procedure and form requirements for your specific situation.

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02-2282doc - dol is a document related to the filing requirements of the U.S. Department of Labor.

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