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U.S. Department of LaborBenefits Review Board P.O. Box 37601 Washington, DC 200137601BRB No. 160493 ARTHUR FORD ClaimantPetitioner v. SSA TERMINALS, LLC and HOMEWORK INSURANCE COMPANY Employer/CarrierRespondents))))))))))))))DATE
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The document 16-0493 is a form used by the Office of Workers' Compensation Programs (OWCP) Longshore and Harbor Workers' Compensation Act (LHCA) division for reporting specific information.
Employers and insurance carriers are required to file the lhca unpublished document 16-0493.
To fill out the lhca unpublished document 16-0493, you must provide specific information requested on the form accurately.
The purpose of the lhca unpublished document 16-0493 is to ensure compliance with reporting requirements and to maintain accurate records of workers' compensation claims.
Information such as claimant details, injury details, employer information, and medical treatment details must be reported on the lhca unpublished document 16-0493.
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