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This document is a decision and order issued by the U.S. Department of Labor's Employees' Compensation Appeals Board regarding the case of George W. Fuselier, Jr. It addresses whether the appellant

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1. Start by entering your personal information in the designated fields, such as your full name, address, and contact information.
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3. Indicate the date you started working for your current employer and the number of hours you work per week.
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2. Employees who are applying for certain benefits or services, such as unemployment insurance, may need to fill out this form as part of their application process.
3. Employers may also need this form to provide accurate employment information for their employees when required by the DOL or other relevant agencies.

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This is a specific document required by the Department of Labor (DOL) for certain reporting purposes. It likely pertains to a specific form or filing related to labor and employment matters.

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