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This document outlines the decision regarding an appeal made by an appellant concerning an overpayment of compensation due to an inaccurate rate established by the Office of Workers’ Compensation
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The 12-0539doc - dol is a form used by employers to report work-related injuries and illnesses.
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Information such as the employee's name, date of injury or illness, description of the injury or illness, and treatment received must be reported on the 12-0539doc - dol form.
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