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You are hereby notified that the undersigned attorney is entering his/her appearance in the above-captioned matter before the Office of Administrative Courts, pursuant to Rule 8(G), O.A.C.R.P. I am representing the following client(s):
I hereby certify that I mailed or delivered the original of the Applicaion for Hearing and Notice to Set to all parties at the addresses shown below (A claimant must provide a copy to the employer and the insurer, or their attorney):
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