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  • Accident Sickness Report

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    jovito limot
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    This document appears to be an application for disability benefits from the Social Security system. It requests information such as the name, address, date of birth, and occupation of the applicant. It also asks for details of the accident or illness causing the disability, including the date it occurred, description of the condition, and how it affects the applicant's ability to work. Physician information is also solicited to provide medical evidence to support the disability claim.

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    This document appears to be an application for disability benefits from the Social Security system. It requests information such as the name, address, date of birth, and occupation of the applicant. It also asks for details of the accident or illness causing the disability, including the date it occurred, description of the condition, and how it affects the applicant's ability to work. Physician information is also solicited to provide medical evidence to support the disability claim.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    14 views1 page

    Accident Sickness Report

    Uploaded by

    jovito limot
    This document appears to be an application for disability benefits from the Social Security system. It requests information such as the name, address, date of birth, and occupation of the applicant. It also asks for details of the accident or illness causing the disability, including the date it occurred, description of the condition, and how it affects the applicant's ability to work. Physician information is also solicited to provide medical evidence to support the disability claim.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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