Form mep ts 051910 2025

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The document is Form MEP-TS 051910, a Federal Occupational Health Case Transmittal used to submit medical review requests related to Family Medical Leave Act (FMLA) and Reasonable Accommodations (RA). It outlines the necessary information required for processing these requests, including employee details, types of services requested, and submission guidelines. The form must be completed in full and submitted to the appropriate IRS Point of Contact for further action.

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