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FORM JHA1 (Rev. 2005)ATTORNEYJUDICIAL HOSPITALIZATION GUARDIAN ADL ITEM(Please Check One)INSTRUCTIONS: Form JHA1 must be submitted in duplicate to the clerk of the Court within 180 days of final disposition
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Form GA-1 claim is used to request reimbursement for expenses related to work-related injuries.
Employees who have incurred work-related injuries and wish to request reimbursement for related expenses are required to file Form GA-1 claim.
To fill out Form GA-1 claim, the employee must provide details about the work-related injury, incurred expenses, and any other relevant information requested on the form.
The purpose of Form GA-1 claim is to allow employees to request reimbursement for expenses incurred as a result of work-related injuries.
Information required on Form GA-1 claim includes details of the work-related injury, incurred expenses, dates of treatment, and any other information requested on the form.
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