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A TTORNEYS: FILE VIA ELECTRONIC DOCUMENTFILING PORTALHTTP://WWW.IC.NC.GOV/DOCFILING.HTML EMPLOYEE FILING OPTIONS: E-MAIL TO DOCKETS@IC.NC.GOV FAX TO (919)715-0282 MAIL TO NCIC-DOCKETSECTION1236MAIL SERVICE CENTERRALEIGH,NC27699-1236 HELPLINE:(800)688-8349 WEBSITE: HTTP:/ / WWW.IC.NC.GOVNorth Carolina Industrial Commission R EQUESTTHATCLAIMBEASSIGNED FOR HEARING 037 037 037037 037 037 037 037 037 037 037037 American LegalNet, Inc. www.FormsWorkFlow.com A TTORNEYS: FILE VIA ELECTRONIC DOCUMENTFILING PORTALHTTP://WWW.IC.NC.GOV/DOCFILING.HTML EMPLOYEE FILING OPTIONS: E-MAIL TO DOCKETS@IC.NC.GOV FAX TO (919)715-0282 MAIL TO NCIC-DOCKETSECTION1236MAIL SERVICE CENTERRALEIGH,NC27699-1236 HELPLINE:(800)688-8349 WEBSITE: HTTP:/ / WWW.IC.NC.GOV 037037037 American LegalNet, Inc. www.FormsWorkFlow.com