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Number LAB1086
Title Merchant Seaman Compensation Act - Statement of Employer - Fatal Case
Purpose To provide HRSDC with information pertaining to the related claim.
GroupInjury Compensation
Important Information
Returning the Form

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THE MERCHANT SEAMEN COMPENSATION ACT STATEMENT OF EMPLOYER - FATAL CASE
PDF: ESDC-LAB1086, 118 KB, printed on 1 pages (8.5x14)

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