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Low Income Home Energy Assistance Program Division 10 Service 415 Program 415 Chapters 05 - 65 North Dakota Department of Health and Human Services
Worker's Compensation - Verification 415-15-10-05-10 (Revised 11/02 ML #2829) View Archives
To verify Worker's Compensation, send a SFN 1059, "Authorization to Release Information" signed by the claimant directly to the Worker's Compensation Bureau.