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2005 Form 4B-1 - Wisconsin Apportionment Data For Specialized Industries IC-027-05 Form 4B-1

2005 Form 4B-1 - Wisconsin Apportionment Data For Specialized Industries IC-027-05 Form 4B-1-2025

2005 Form 4B-1 - Wisconsin Apportionment Data For Specialized Industries IC-027-05 Form 4B-1 Preview on Page 1

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The document is a stipulation for an award related to a workers' compensation case in California. It outlines the details of the applicant's injuries, temporary and permanent disability benefits, medical treatment needs, attorney fees, and other stipulations agreed upon by the parties involved. The document serves as a formal request for an award from the Workers' Compensation Appeals Board.

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