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MFDR FORM 19 Send Original toOKLA. CITY, OK 73105 Workers Compensation Commission and 1 copy to Insurance Carrier, SelfInsured Employer/Own Risk Group or Uninsured Employer In re claim of:THIS SPACE
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A commission refers to the authorized appointment of a person to perform certain duties, while '1 copy' implies that a single copy of the relevant document or report is required to be submitted.
Individuals or entities that have been granted a commission or are tasked with specific duties under the commission are required to file the document along with one copy.
To fill out the commission and 1 copy, provide all necessary details as specified in the guidelines, including personal information, the nature of the commission, and any other required documentation.
The purpose of filing a commission and 1 copy is to officially document the appointment and responsibilities associated with the commission, ensuring legal recognition and compliance.
Essential information includes the name of the individual or entity receiving the commission, the purpose of the commission, relevant dates, and any additional required details as mandated by the governing authority.
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