THIRD PARTY SETTLEMENT AGREEMENT

Labor & Industry

This government document is issued by Labor & Industry for use in Pennsylvania

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File Details: PDF (289 KB)
Source
https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:1wdjf9sxttm&q=https://www.dli.pa.gov/Businesses/Compensation/WC/claims/wcais/Documents/wcais%2520forms/LIBC-380%2520print.pdf&sa=U&ved=2ahUKEwi8pvym1OmFAxUJ_7sIHV4MBN84MhAWegQIBhAB&usg=AOvVaw1Bq_2OO9LFNhzL24pBWLY0

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