This HTML5 document contains 5 embedded RDF statements represented using HTML+Microdata notation.

The embedded RDF content will be recognized by any processor of HTML5 Microdata.

PrefixNamespace IRI
n5ca.
isaphttp://webisa.webdatacommons.org/prov/
isahttp://webisa.webdatacommons.org/
rdfhttp://www.w3.org/1999/02/22-rdf-syntax-ns#
provhttp://www.w3.org/ns/prov#
xsdhhttp://www.w3.org/2001/XMLSchema#
Subject Item
isa:305349618
rdf:type
prov:Entity
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
n5:gov
Subject Item
isap:54369758
prov:wasDerivedFrom
isa:305349618
Subject Item
isap:398373319
prov:wasDerivedFrom
isa:305349618