MEMORANDUM NO. 1999-14

FORM 36 REVISED 7/14/99

 


TO: Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, Medical Practitioners, and Advisory Board Members
FROM: Jesse M. Frankl, Chairman
DATE: July 22, 1999
RE: FORM 36 REVISED 7/14/99

 

We are pleased to announce a revision of the Form 36 ~ Form Notice to Compensation Commissioner and Employee of Intention to Discontinue or Reduce Payments.

This form is available from our website or any district office.