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Click I Agree. Then click Sign and Continue to electronically sign the form.

 

Employee Signature

Attach Documents

Documents can be attached by the employee or employer while completing Section 1 information, or they can be attached by the employer later, when completing Section 2 information. In this example, the employee attaches the documents (a copy of his Driver's License and his Social Security card) at this point in the process.

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Click No, then click Next.

Close Case

 

Case Close Reason

 

Choose the appropriate reason, then click Submit Case Close Reason.

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