This government document is issued by Labor & Industry for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:1wdjf9sxttm&q=https://www.dli.pa.gov/Individuals/Labor-Management-Relations/llc/act-102/Documents/Act102ClaimForm.pdf&sa=U&ved=2ahUKEwj45N79t-mFAxU99wIHHdfqAbk4ChAWegQIBBAB&usg=AOvVaw2l9P6a_yEecGugMRlFkcSY