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Maryland Statement of Wage Information (Average Weekly Wage) 14 Weeks - Auto-calculating in Adobe Reader
SKU: FFMD175 |   E-mail this product to a friend
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Product Description

This form should be submitted before the consideration date or to provide updated wage information. When a claim has already been filed, a copy of this form shall be sent to the Workers' Compensation Commission and the claimant or his/her attorney.
 
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