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If an injured worker has two injuries, do I complete two separate cover sheets and would they be given two separate ADJ numbers?

April 26, 2017adj COMPLETE cover given injuries Numbers separate sheets worker

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If an injured worker has two injuries, do I complete two separate cover sheets and would they be given two separate ADJ numbers?

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A. Yes. For instance, if an injured worker had a specific injury to the right wrist on June 6, 2008 and a cumulative trauma (CT) injury to the right wrist, June 6, 2008, both the specific injury and the CT would each require a separate application packet and each would be designated with a separate ADJ number.