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MEMORANDUM - October 6, 1992

Form 36


TO: All Commissioners, Attorneys, Insurance Companies, Self-Insured Employers, Unions
FROM: Jesse M. Frankl, Chairman
DATE: October 6, 1992
RE: Form 36


A Form 36 pursuant to Section 31-296 as amended may be accompanied by a medical report from a physician licensed to practice in the State of Connecticut.