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Guardian Vision Care Service Record(This form to be maintained by the providers' office) SECTION I PROVIDER/PATIENT SECTIONMember Name:SECTION II COVERAGE SECTION___Member ID No.: ___ Patient Name:___Relationship:

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Employers who have employees that were injured on the job and need to report the incident to the appropriate channels.

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News amp 440 report is a required filing with specific regulatory information, typically related to financial or operational data.

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