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Workers Compensation Insurance Rating Bureau of California Request to Use California SelfInsured Data for Experience Rating Purposes Form 701 (Rev. 03/2022)Instructions Purpose of Form This form is
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Form 701 - request is a document used to request certain information or actions from a specific entity or organization.
Any individual, business, or entity that needs to formally request information or actions from another party may be required to file form 701 - request.
Form 701 - request typically requires the individual to provide their contact information, details of the request or information being sought, and any additional supporting documentation.
The purpose of form 701 - request is to provide a formal mechanism for requesting information or actions from a specific entity or organization.
The information required on form 701 - request may vary depending on the specific request being made, but typically includes contact information, details of the request, and any supporting documentation.
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