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Q52b
What was the source of (your/name's Fill Q52Ab) payments?
Read Categories if necessary 1 State Worker's Compensation 2 Employer or employer's insurance worker's compensation 3 Own insurance worker's compensation 4 Other
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Q52b
What was the source of (your/name's Fill Q52Ab) payments?
Read Categories if necessary 1 State Worker's Compensation 2 Employer or employer's insurance worker's compensation 3 Own insurance worker's compensation 4 Other
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Q52b
What was the source of (your/name's Fill Q52Ab) payments?
Read Categories if necessary 1 State Worker's Compensation 2 Employer or employer's insurance worker's compensation 3 Own insurance worker's compensation 4 Other
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Q52b
What was the source of (your/name's Fill Q52Ab) payments?
Read Categories if necessary 1 State Worker's Compensation 2 Employer or employer's insurance worker's compensation 3 Own insurance worker's compensation 4 Other
Questionnaire formview entire document:
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Q52b
What was the source of (your/name's Fill Q52Ab) payments?
Read Categories if necessary 1 State Worker's Compensation 2 Employer or employer's insurance worker's compensation 3 Own insurance worker's compensation 4 Other