Vocational Rehabilitation Vendor Application
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Vocational Rehabilitation Vendor Application Form. This is a Kansas form and can be use in Workers Compensation.
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Tags: Vocational Rehabilitation Vendor Application, K-WC-R-93-10, Kansas Workers Compensation,
Page 1 of 2 KANSAS DEPARTMENT OF LABOR www.dol.ks.govVOCATIONAL REHABILITATION VENDOR APPLICATION(K.A.R. 51-24-4)K-WC-R 93-10 ()Type of Application (please check): Original application (new applicant) Change application Renewal application application (new applicant) application. is attached to this application. (h)This vendor DIVISION OF WORKERS COMPENSATION 226 REHABILITATION UNIT American LegalNet, Inc. www.FormsWorkFlow.com K-WC-R 93-10 ()Company name Signature (representative/owner) þ Date of application Title DIVISION OF WORKERS COMPENSATION 226 REHABILITATION UNIT ( )( ) American LegalNet, Inc. www.FormsWorkFlow.com
