NEED ASSISTANCE. If you have questions or need help and you do not have an attorney, you may contact the Industrial Commission at (000) 000-0000.
Appears in 3 contracts
Samples: Agreement for Compensation for Disability, Agreement for Compensation for Disability, Agreement for Compensation for Disability
NEED ASSISTANCE. If you have questions or need help and you do not have an attorney, you may contact the Industrial Commission at (000800) 000-0000688- 8349.
Appears in 2 contracts
Samples: Supplemental Agreement as to Payment of Compensation, Supplemental Agreement as to Payment of Compensation
NEED ASSISTANCE. If you have questions or need help and you do not have an attorney, you may contact the Industrial Commission at (000800) 000-0000.688- 8349. FORM 26 06/2018 PAGE 2 OF 2
Appears in 1 contract
Samples: Supplemental Agreement as to Payment of Compensation
