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CE8039 - SEARCH FOR WCD CLAIM NUMBER OR INSURER CLAIM NUMBER
Choose options for this report.
Enter WCD Claim File Number OR Insurer Claim Number
Please enter the WCD Claim File number
DO NOT ENTER HYPHEN
Please enter the Insurer Claim number
Asterisks may be used as wildcard characters (for example
ABC1234*
will return all claims beginning with
ABC1234
.)
Report output format
Format:
PDF Document (preferred)
Excel Document
Rich Text / MS Word
Web Display
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Headers:
Yes
No (may not apply to all formats)