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Assignment Form

 Third Party
 Claimant's Atty.
 Police Authorities
 Sub Rosa
 Death Certificate
 Birth Certificate
 Divorce Certificate
 Marriage License
 Medical Authorizations
 Hospital Records
 Wage Statements
 Police Reports
 Activity Check
 Prior Employees
 Ind. Contractor
 Past Med. History
 W.C.A.B Records
 Serious & Willful
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Status Investigative Group provides a positive impact to claims programs throughout California.

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