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Request for DUI Hearing
This is your notice that the Department of Licensing (DOL) intends to suspend, revoke or deny your license, permit, or privilege to drive.
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WC-77 APPLICATION FOR HEARING FORM
Completion of this form will expedite resolution of issues of controversy in a fair and judicious manner. The Delivery Information section below lists various
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Form CA-16 - Authorization for Examination / Medical Treatment
○ Form CA-16 is valid for up to sixty days from date of issuance, and may be terminated earlier upon written notice from OWCP to the provider. It should not be
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