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Application For Discrimination Benefits Pursuant To Labor Code Section 132A - California
| Application For Discrimination Benefits Pursuant To Labor Code Section 132A Form. This is a California form and can be used in General Workers Comp . |
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NAME STREET CITY, STATE, ZIP CODE TELEPHONE #: STATE OF CALIFORNIA WORKERS' COMPENSATION APPEALS BOARD WCAB#: vs. Applicant, APPLICATION FOR DISCRIMINATION BENEFITS PURSUANT TO LABOR CODE SECTION 132(A) Defendants. American LegalNet, Inc. www.FormsWorkFlow.com
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