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Date Claimants Name Case File Number Physicians Name Physicians Address City, State, Zip Code Dear Physician: This letter is in reference to the workers' compensation claim for the employee named
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Bulletin 06-12 attachment 1 is a form required to be filed by certain individuals or entities.
Individuals or entities meeting specific criteria set forth in bulletin 06-12 are required to file attachment 1.
Attachment 1 must be completed with accurate and detailed information as outlined in the instructions provided with the form.
The purpose of attachment 1 is to gather specific data or information from individuals or entities for regulatory or compliance purposes.
Attachment 1 typically requires information such as financial data, transaction details, or other relevant information specified in the form.
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