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t044 lapyts $IfgdDLvEEEF $Ifgd okd8v$$Iflm+(, t044 lap ytsDescription of Injury and Disability:  FORMTEXT       Hearing Date:  FORMTEXT       Date of Injury:  FORMTEXT      Claim Petition Number:  FORMTEXT      Employer Name:  FORMTEXT      Permanent Disability Award:  FORMTEXT      Description of Injury and Disability:  FORMTEXT       Hearing Date:  FORMTEXT       State of New Jersey Department of Labor and Workforce Development DIVISION OF WORKERS COMPENSATION WC-376iORDER FOR TOTAL DISABILITY w/Second Injury Fund - Page 4 CASE NO S.:  REF Text1   VICINAGE:  REF Dropdown1 \* MERGEFORMAT   Date of Injury:  FORMTEXT      Claim Petition Number:  FORMTEXT      Employer Name:  FORMTEXT      Permanent Disability Award:  FORMTEXT      Description of Injury and Disability:  FORMTEXT       Hearing Date:  FORMTEXT       Date of Injury:  FORMTEXT      Claim Petition Number:  FORMTEXT      Employer Name:  FORMTEXT      Permanent Disability Award:  FORMTEXT      Description of Injury and Disability:  FORMTEXT       Hearing Date:  FORMTEXT       Date of Injury:  FORMTEXT      Claim Petition Number:  FORMTEXT      Employer Name:  FORMTEXT      Permanent Disability Award:  FORMTEXT      Description of Injury and Disability:  FORMTEXT       Hearing Date:  FORMTEXT       Date of Injury:  FORMTEXT      Claim Petition Number:  FORMTEXT      Employer Name:  FORMTEXT      Permanent Disability Award:  FORMTEXT      Description of Injury and Disability:  FORMTEXT       Hearing Date:  FORMTEXT       (Provide like data on additional sheets as required) State of New Jersey Department of Labor and Workforce Development DIVISION OF WORKERS COMPENSATION WC-376iORDER FOR TOTAL DISABILITY w/Second Injury Fund - Page 5 CASE NO S.:  REF Text1   VICINAGE:  REF Dropdown1 \* MERGEFORMAT   PRE-EXISTING NON-COMPENSABLE DISABILITIES Date of Onset:  FORMTEXT      Origin (if known):  FORMCHECKBOX  Congenital  FORMCHECKBOX  Accident / InjuryDescription:  FORMTEXT        Date of Onset:  FORMTEXT      Origin (if known):  FORMCHECKBOX  Congenital  FORMCHECKBOX  Accident / InjuryDescription:  FORMTEXT        Date of Onset:  FORMTEXT      Origin (if known):  FORMCHECKBOX  Congenital  FORMCHECKBOX  Accident / InjuryDescription:  FORMTEXT        Date of Onset:  FORMTEXT      Origin (if known):  FORMCHECKBOX  Congenital  FORMCHECKBOX  Accident / InjuryDescription:  FORMTEXT        Date of Onset:  FORMTEXT      Origin (if known):  FORMCHECKBOX  Congenital  FORMCHECKBOX  Accident / InjuryDescription:  FORMTEXT        Date of Onset:  FORMTEXT      Origin (if known):  FORMCHECKBOX  Congenital  FORMCHECKBOX  Accident / InjuryDescription:  FORMTEXT        Date of Onset:  FORMTEXT      Origin (if known):  FORMCHECKBOX  Congenital  FORMCHECKBOX  Accident / InjuryDescription:  FORMTEXT        (Provide like data on additional sheets as required) State of New Jersey Department of Labor and Workforce Development DIVISION OF WORKERS COMPENSATION WC-376iORDER FOR TOTAL DISABILITY w/Second Injury Fund - Page 6 CASE NO S.:  REF Text1   VICINAGE:  REF Dropdown1 \* MERGEFORMAT   PETITIONER DATA Education (highest level completed):  FORMTEXT      Special Occupational Skills:  FORMTEXT        Rehabilitation Potential:  FORMTEXT        Third Party Actions: If third party liability action is pending, provide the name and address of the attorney representing this petitioner if different than the workers compensation attorney, the defense attorney(s), the case name and docket number.   FORMTEXT       (Respondent and Second Injury Fund reserve their rights under N.J.S.A. 34:15-40)  REMARKS:  FORMTEXT       State of New Jersey Department of Labor and Workforce Development DIVISION OF WORKERS COMPENSATION WC-376iORDER FOR TOTAL DISABILITY w/Second Injury Fund - Page 7 CASE NO S.:  REF Text1   VICINAGE:  REF Dropdown1 \* MERGEFORMAT   REIMBURSETAX IDENTIFICATION NUMBERTOTAL AMT. ALLOWEDPAYABLE BY PETITIONERPAYABLE BY RESPONDENTMEDICAL FEE ALLOWED: (expert and/or testimonial)  FORMTEXT        FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      ATTORNEY(S) FEE:  FORMTEXT        FORMDROPDOWN   FORMTEXT        REF Text101 \* MERGEFORMAT   FORMTEXT       FORMTEXT       FORMTEXT      STENOGRAPHIC SERVICE:  FORMDROPDOWN   FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      MISCELLANEOUS FEES: (fill in below)  FORMTEXT        FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMDROPDOWN   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMCHECKBOX  ORDER FOR CHILD SUPPORT  FORMCHECKBOX  ADDENDUM ATTACHED  FORMTEXT       JUDGE OF COMPENSATION DATE WE HEREBY CONSENT TO THE ENTRY AND FORM OF THIS ORDER AND ACKNOWLEDGE RECEIPT OF COPY:  REF Text19 \* MERGEFORMAT  ,  REF Text16 \* MERGEFORMAT   Petitioner s Attorney REF Text15 \* MERGEFORMAT  ,  REF Text12 \* MERGEFORMAT   Respondent s Attorney Petitioner (where applicable)  REF Text123   Deputy Attorney General     FNvxz $Ifgd okd3w$$Ifl+(, t044 lap ytsNPdfhrtvzJL`橞یufuTffufu#jyhsh7CJUaJjhsh<CJUaJhsh<CJaJhSh E'5CJaJ#jxhshv5CJUaJhshTLCJaJhshDLvCJaJ(jhshb#)CJUaJmHnHu#jwhshv5CJUaJhshMCJaJjhshMCJUaJhsh E'CJaJz| 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