Claims

Order of Acquittal/Dismissal or Remand

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Form 118

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WC Supplementary Report WC Form 3

  INSTRUCTIONS: ALABAMA SUPPLEMENTARY REPORT (WC Form 3)     Alabama employers are required to file a WC Form 3 whenever payment is made to a worker injured on the
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Southland Dental Claim

  INSTRUCTIONS: SOUTHLAND DENTAL CLAIM FORM      Alabama public employees are enrolled with Southland Benefit Solutions for their health insurance. Those needing to make a claim for reimbursement for
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Motion and Order for Discharge from Probation

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Form 117

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Form A Claim Form

  INSTRUCTIONS: ALABAMA CLAIM FORM (Form A)     Alabama public employees can use a form A as part of
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Southland Vision Claim

  INSTRUCTIONS: SOUTHLAND VISION CLAIM FORM      Alabama public employees file the form discussed in this article to obtain
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Application for Writ of Possession (Claim and Delivery)

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Return to Work Notification

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