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REV 0419WARREN COUNTY WATER DISTRICT APPLICATION FOR SERVICE Must./Acct. Nos. Map No. SECTION 1ADDRESS OF SERVICE TO BE ACTIVATED NAME NEW BILLING ADDRESS___SOCIAL SECURITY NO.______ ___Driver's LICENSE

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What is app for service wc?

The app for service wc is an application form used to request service for workers' compensation.

Who is required to file app for service wc?

Employers who have employees that are injured on the job are required to file the app for service wc.

How to fill out app for service wc?

The app for service wc can be filled out online or submitted in person to the appropriate workers' compensation office.

What is the purpose of app for service wc?

The purpose of the app for service wc is to initiate the process of providing workers' compensation benefits to injured employees.

What information must be reported on app for service wc?

The app for service wc must include information about the injured employee, the nature of the injury, and the circumstances surrounding the injury.

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