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Request for Lien Information; Report of Settlement of Third Party Liability Cases
Form ID-3s-1obtains section 12(o) information and provides for the reporting of personal injury settlements to the RRB by an attorney and/or insurer responsible for paying personal-injury damages to a railroad employee in third party liability cases.
Form #:   ID-3s-1
Agency:  Railroad Retirement Board
  TYPE PAGES SIZE (KB) CAPABILITY WHAT'S
NEEDED
pdf Form Only 2 16 [1] Paper Only Adobe Reader Download  

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