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Electing the High Option on Form 4241

REMINDER: CARRIERS CAN TAKE HIGH OPTION IF YOU QUALIFY. YOU MUST SIGN THAT YOU WILL STAY UNDER 2080;

CARRIERS ARE NOT REQUIRED TO SIGN THAT THE SURVEY IS CORRECT. HOWEVER, YOU MUST PUT IN WRITING WHY YOU ARE NOT SIGNING.

 

Example form below

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Electing the High Option on Form 4241

 
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