I applicant in the aboveentitled Date Applicant ID: 492588
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STATE OF CALIFORNIADepartment of Industrial RelationsDivision of Workers' CompensationWORKERS' COMPENSATION APPEALS BOARDApplicant,vs.Defendants)Case No.Notice ofDismissal of Attorney I,________________________________________________________, applicant in the above-entitled (Date)______________________________ (Applicant)______________________________ (Address)DWC/WCAB FORM 37 (REV. 8-75)