Application To Become An Approved Utilization Review Agent and Affidavit of Compliance Forms

Department of Industrial Accidents (DIA)

This government document is issued by Department of Industrial Accidents (DIA) for use in Massachusetts

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File Details: DOC (137 KB)
Source
https://www.mass.gov/doc/application-to-become-an-approved-utilization-review-agent-and-affidavit-of-compliance-forms/download?_ga=2.13021623.1854129817.1751542062-2000327536.1747311789&_gl=1*1q5u52y*_ga*MjAwMDMyNzUzNi4xNzQ3MzExNzg5*_ga_MCLPEGW7WM*czE3NTE1NDIwNjIkbzY4JGcxJHQxNzUxNTQzODI1JGo2MCRsMCRoMA..

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