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State of California DIVISION OF WORKERS COMPENSATION MEDICAL UNIT REQUEST SOMME Panels UNDER LABOR CODE 4062.2 REPRESENTED Date of Injury(Required): Print Form Reset Form (Please print or type) Specialty
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Applicants attorney is a lawyer who represents individuals applying for a certain benefit or legal process.
The individual applying for the benefit or legal process is required to file applicants attorney.
To fill out applicants attorney, the individual must provide the lawyer's contact information, representation agreement, and any other relevant details.
The purpose of applicants attorney is to ensure that the individual has legal representation and assistance throughout the application process.
The information reported on applicants attorney includes the lawyer's name, contact information, representation agreement, and any relevant case details.
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