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Unemployment Insurance	Workers' Compensation

Product	SKU	More Info
Minnesota 2007 Collection and Assessment of Fines and Penalties Report (published January 2008)	FFMN330
Minnesota 2007 Prompt First Action Report on Workers' Compensation Claims (published January 2008)	FFMN335
Minnesota Affidavit of Significant Financial Hardship AS01	FFMN030
Minnesota Analysis of independent medical examinations filed with the Department of Labor and Indust	FFMN355
Minnesota Annual Claim for Reimbursement From the Secondary Injury Fund AR04	FFMN035
Minnesota Annual Claim for Reimbursement of Supplementary Benefits AC03	FFMN040
Minnesota Appeal Hearing Guide	FFMN010
Minnesota Authorization for file review or release of copies of workers' comp claim file (FE0005)	FFMN265
Minnesota Benefit Addendum (BA01)	FFMN270
Minnesota Claim Petition for Dependency Benefits or Payment to Estate CP03	FFMN045
Minnesota Direct Deposit	FFMN025
Minnesota Disability Status Report DS01	FFMN050
Minnesota Election to Exclude Relatives of Executive Officers of a Closely-held Corporation (BMR02)	FFMN315
Minnesota Election to Exclude Relatives of Managers of a Limited Liability Company (BMR01)	FFMN320
Minnesota Employee or Insurer's Objection to Requested Attorney Fees and/or Costs RT01	FFMN055
Minnesota Employee's Claim Petition	FFMN060
Minnesota Employee's guide to Minnesota's workers' compensation system	FFMN370
Minnesota Employee's Objection To Discontinuance ED02	FFMN065
Minnesota Employee's Request for Administrative Conference EQ05	FFMN070
Minnesota Excess Fee Exhibit PF04	FFMN075
Minnesota First Report of Injury FR01	FFMN080
Minnesota Guide to the Online Application	FFMN005
Minnesota Health Care Provider Report HC01	FFMN085
Minnesota How to Apply for Benefits	FFMN015
Minnesota Information Handbook	FFMN020
Minnesota Interim Status Report IS03	FFMN090
Minnesota Intervention Cover Letter (MO0001)	FFMN275
Minnesota Intervention Motion (MO0001)	FFMN280
Minnesota Intervention Service Affidavit	FFMN290
Minnesota Intervention Stipulation (LE0002)	FFMN285
Minnesota Medical Request - Instructions	FFMN100
Minnesota Medical Request MQ03	FFMN095
Minnesota Medical Response MR03	FFMN105
Minnesota Notice of Appeal to Workers' Compensation Court of Appeals (NO0016)	FFMN295
Minnesota Notice of Appearance of Attorney for Employee NA03	FFMN110
Minnesota Notice of Benefit Payment NB01	FFMN115
Minnesota Notice of Benefit Reinstatement NC01	FFMN120
Minnesota Notice of Discontinuance of Workers' Compensation Benefits Upon Death of Employee BD02	FFMN125
Minnesota Notice of Discontinuance of Workers' Compensation Dependency Benefits DB02	FFMN130
Minnesota Notice of File Closing (NF01)	FFMN300
Minnesota Notice of Insurer's Primary Liability Determination NL01	FFMN135
Minnesota Notice of Intention to Claim Reimbursement From the Second Injury Fund	FFMN140
Minnesota Notice of Intention to Discontinue Workers' Compensation Benefits (ND01)	FFMN145
Minnesota Notice of Penalty Payment (NO0015)	FFMN305
Minnesota Objection to Penalty Assessment (CE0003)	FFMN150
Minnesota On the Job Training Plan (JA04)	FFMN155
Minnesota Permanent Total Disability Agreement (PA04)	FFMN160
Minnesota Petition for Taxation of Actual and Necessary Disbursements (PT03)	FFMN165
Minnesota Plan Progress Report (PR01)	FFMN170
Minnesota R-2 Rehabilitation Plan - Spanish	FFMN190
Minnesota R-2 Rehabilitation Plan (RE01)	FFMN185
Minnesota R-3 Rehabilitation Plan Amendment - Spanish	FFMN200
Minnesota R-3 Rehabilitation Plan Amendment (RP01)	FFMN195
Minnesota R-8 Notice of Rehabilitation Plan Closure - Spanish	FFMN180
Minnesota R-8 Notice of Rehabilitation Plan Closure (NR01)	FFMN175
Minnesota Rehabilitation Consultation Report (RC01)	FFMN205
Minnesota Rehabilitation Request - Spanish	FFMN215
Minnesota Rehabilitation Request (RQ03)	FFMN210
Minnesota Rehabilitation Response - Spanish	FFMN225
Minnesota Rehabilitation Response (RR03)	FFMN220
Minnesota Rehabilitation Rights and Responsibilities of the Injured Worker - Spanish	FFMN235
Minnesota Rehabilitation Rights and Responsibilities of the Injured Worker (IW05)	FFMN230
Minnesota Report of Work Ability (RW01)	FFMN240
Minnesota Request for Certification of Dispute (CA0022)	FFMN310
Minnesota Request for Extension (QE03)	FFMN245
Minnesota Request for Formal Hearing (RF03)	FFMN250
Minnesota Retraining Plan (EP04)	FFMN255
Minnesota Statement of Attorney Fees (SA04)	FFMN260
Minnesota Workers' compensation claims characteristics 2006 (published January 2008)	FFMN340
Minnesota Workers' Compensation Division administrative profile	FFMN325
Minnesota Workers' Compensation System Employee Information Sheet	FFMN360
Minnesota Workers' Compensation System Report, 2006 (published July 2008)	FFMN350
Minnesota Workers' compensation teen claim characteristics, 2003-2005 (published April 2007)	FFMN345

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