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Los Angeles Unified School District Sedgwick Claims Management ServicesMedical Provider Network Referral Panel for Industrial Injuries If an LAUSD employee is injured on the job Call 911 if immediate
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Start by downloading the LAUSD MPN panel card PDF from the official website.
02
Open the PDF document using a PDF viewer.
03
Locate the personal information section and fill in your full name.
04
Provide your student ID number in the specified field.
05
Fill in your date of birth in the format required.
06
Enter your address, including city and zip code.
07
Complete the emergency contact information with a name and phone number.
08
Review the eligibility criteria listed on the card.
09
Sign and date the form at the bottom.

Who needs lausd mpn panel cardpdf?

01
Students enrolled in LAUSD who require special education services.
02
Parents or guardians of students needing to communicate medical or support needs.
03
School staff involved in managing student health and educational requirements.
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The LAUSD MPN Panel Card PDF is a document used by the Los Angeles Unified School District to collect and report information related to the Multi-Purpose Nutrition program.
Schools and organizations that participate in the Multi-Purpose Nutrition program must file the LAUSD MPN Panel Card PDF.
To fill out the LAUSD MPN Panel Card PDF, gather the necessary data, complete each section accurately, and ensure all required signatures are included before submitting.
The purpose of the LAUSD MPN Panel Card PDF is to document and verify participation in the Multi-Purpose Nutrition program for compliance and funding purposes.
The LAUSD MPN Panel Card PDF must report information including the name of the school or program, participant demographics, and nutrition service details.
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