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Mileage WorksheetPDF File: 1 page; Last revised March 17, 2006 Mileage Worksheet for Medical Treatment - Examination - Physical Therapy - Laboratory TestAlthough not an official Commission form, we provide this worksheet to injured employees who might need such a worksheet to report mileage incurred due to workers compensation-related medical appointments.NOTE: For complete information regarding this, refer to the Info Packet and see also Public Act 01-33 for up-to-date mileage reimbursement rate information. Record of Employment ContactsPDF File: 1 page; Last revised July 8, 2005 Record of Employment ContactsAlthough not an official Commission form, we provide this worksheet to injured employees who might need such a worksheet to report contacts with employers during a job search while the employee is out on workers compensation.NOTE: For complete information regarding this, refer to the Info Packet The Workers Compensation Commission recommends the use of Adobes free Adobe Acrobat Reader software application when accessing or using its PDF forms and publications.Get the Adobe Acrobat Reader by clicking the following button: The Workers Compensation Commissions recommendation of Adobes free Adobe Acrobat Reader software application is based solely on technical considerations inherent in the PDF files this agency produces, and does not constitute an endorsement of Adobe Software as a company or of its commercially-available products. There are a multitude of free and commercial software applications offered by various software makers that are capable of opening and displaying our PDF documents, but only the Adobe Acrobat Reader application makes full and accurate use of the capabilities we have built into our documents; the agency has found over a period of many years that the Adobe Acrobat Reader provides the best, most trouble-free experience using this Commissions PDF files.

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