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Board Rule 61b16 Form Wc26consolidated Yearly Report Of Medical Only Claims And Annual Payments On Indemnity Claims

File on or before January 31 following each calendar year in respect to all medical and indemnity payments for the previous year for work-related injuries.  File annually even if no reportable payment occurred during the reporting year.

  • Form WC-26/Consolidated Yearly Report of Medical Only Claims and Annual Payments on Indemnity Claims

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