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2. When the previous section is completed, you have to add the required specifics in Section Commutation of Impairment, Maximum Medical Improvement Date, Impairment Rating Rating, Did you or insurance carrier, Yes, Weekly Impairment Income Benefit, Date Returned to Workmmddyyyy, Present Rate of Pay, Hourly, Weekly, Monthly, Other, Have you returned to work for at, Yes, and I have read and understood this so you're able to go further.
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