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An Entity of Type : prov:Entity, within Data Space : webisadb.webdatacommons.org associated with source dataset(s)

AttributesValues
rdf:type
prov:value
  • The request for a second review shall be submitted to the employer on a form prescribed by the administrative director and shall include all of the following:(A) The date of the explanation of review and the claim number or other unique identifying number provided on the explanation of review.(B) The item and amount in dispute.(C) The additional payment requested and the reason therefor.(D) The ad
prov:wasQuotedFrom
is prov:wasDerivedFrom of
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