Notice of Disputed Issue(s) and Refusal to Pay Benefits
www.OIEC.texas.gov. or call 1-866-393-6432, ext. 44186, Monday to Friday, 8 a.m. to 5 p.m. Central time. Making a false workers’ compensation claim is a crime that may result in fines or going to prison. A copy of this letter was sent to: ................
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