Document

Doctor’s Certificate

ICR 202001-1235-009 · OMB 1235-0016 · Object 98548701.

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Document Metadata
File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDoctor’s Certificate
AuthorU.S. Department of Labor
File Created2021-01-16
Conversion Statepartial