RCT053 BOND (WC4)

(System Generated)

Caption: Things To Remember

 (1)  must promptly report any changes that may affect  (2)  benefits. Failure to do so could mean  (3)  may have to repay any benefits not due. Let us know if:

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   (4)  went to work since  (5)  last report or  (6)  to work in the future; or

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   (7)  already reported  (8)  work, but  (9)  duties or pay changed. (Remember to keep records of work and earnings such as pay statements from the employer); or

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   (10)  doctor says  (11)  condition has improved even if  (12)  to work now; or

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   (13)  applied for, start getting or have a change in the amount of  (14)  workers compensation or another public disability benefit; or

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   (15)  paying for work expenses related to  (16)  disability such as special transportation or the amount paid for these work expenses changes or  (17)  no longer  (18)  for such expenses. (Remember to keep records and proof of payment for any work expenses.)