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Click ‘Get Form’ to open the m30 application form in the editor.
Begin by entering your full name in block letters. Include your present surname, maiden surname, and first names as required.
Fill in your date of birth accurately to ensure proper identification.
Provide your postal address where you can receive correspondence regarding your application.
Detail your educational qualifications, including school certificates and any post-school qualifications. Be sure to include the name of the institution and year of completion.
Indicate the degree you wish to pursue, such as BCom, along with the school subjects you have passed, including grades and symbols.
If applicable, complete the sworn declaration section on discrepancies in names. Ensure you sign and date this section appropriately.
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Division of Temporary Disability and Family Leave Insurance
M30 - Request for Independent Medical Examination Approved medical providers receive this form when we need them to perform an independent medical exam on the
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