Reference: Ref-06186
| Reference Name: | DFS-F5-DWC-9-A | 
| Agency: | 69 Department of Financial Services 69L Division of Workers' Compensation  | 
	  	
| Modified Document(s): | 
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| Adopted Document(s): | 
			
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| Proposed Document(s): | 
			
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| Description: | ||||||
Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.
Rules/Notices using this Reference Material| Notice / Adopted  | 
				
				
				Description | ID | Publish Date  | 
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|---|---|---|---|---|
					
					
                 
                   
                    
				   
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				Forms Incorporated by Reference for Medical Billing, Filing and Reporting | 17114600 | 
					
						  Effective: 02/18/2016  | 
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