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BRB Nos. 080699 and 090240 OCP No. 02140404 J.S. ClaimantPetitioner v. SERVICE EMPLOYEES INTERNATIONAL and INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA/AIG WORLDSOURCE Employer/CarrierRespondents DIRECTOR,
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The document 09-0240doc is a form required to be filed with the LHCA (Lighthouse Charitable Association) for reporting certain information.
All members of the LHCA who have relevant information to report are required to file the document.
The document can be filled out electronically or manually, following the instructions provided by the LHCA.
The purpose of the document is to gather necessary information for the LHCA's records and compliance requirements.
The document requires information such as name, contact details, and specific information related to the report being filed.
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