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    • Folder (FL17WI-A0000003)

    Case (CA16WI-L0000775)

    Claim (CL17WI-A0000011)

    bannerImage
    Claimant Name: White III, Raleigh SSN: 405-15-5555 DOB: 07/22/1980 Age: 36 Case Age: Phone: 719-367-2207 Examiner:
    CA16WI-L0000775 EDCS Case Number: 223221135 Status: Ready for Manual Receipt Priority: No PFI: No PPFI: Unknown Flag Count: 0
    CL16WI-L0000827 EDCS Claim Number: 241313888 Type: DI Filing Date: 12/08/2015 Status: Accepted    

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    CA16WI-L0000775
    Ready for Manual Receipt
    Title XVI
    No
    Yes
    No
    MILW DT WI (548)Open Field Office Live Search.Delete Button for Field Office Required
    Yes
    Not Yet Answered
    223221135
    Initial Required
    Required
    No
    No
    MILW DT WI
    AK DDS NTWK SRVCS (V38)Open Jurisdictional Office Code Live Search.Delete Button for Jurisdictional Office Code Required
    Not Yet Answered
    Select Date (mm/dd/yyyy)
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    Case (CA16WI-L0000775)

    Receipt Reject
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