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["Status of Request","Employee ID","Last Name","First Name","DOH","Employee Status","Temporary or Long Term","Worker's Comp Restriction/\nAccommodation","Date EE Given Information ","Signed Consent"," Returned Signed Consent Form Date","Faxed or Employee Delivered to Doctor","Due Date","Information Returned Date","Date of Required Update","Condition","Restriction/\nAccommodation","Cost Center","Supervisor","Type of Restriction/\nAccommodation- Chemicals","Type of Restriction/\nAccommodation- Hours","Type of Restriction/\nAccommodation- Lifting","Type of Restriction/\nAccommodation- Range of Motion","Type of Restriction/\nAccommodation- Repetitive Motion","Type of Restriction/\nAccommodation- Sit/Stand","Type of Restriction/\nAccommodation- Misc","Comments"]
["Pending",1010101,"Doe","Jane","1996-01-08","Active","Long Term","N","2013-03-28","Y","2013-03-28","Faxed 28 Mar 13","2012-02-10","2013-03-29","2014-02-01","Arthritis (DJD) knee","Limited standing",12486,"Parker",null,null,null,null,null,"X","X"]
["Approved",1010102,"Doe","John","1996-01-08","Active","Long Term","N","2013-03-29","Y","2013-03-29","Faxed 28 Mar 14","2012-02-10","2013-03-29","2014-02-01","Arthritis (DJD) knee","Limited standing",12487,"Parker",null,null,null,null,null,"X","X"]
["Denied",1010103,"Doe","Sue","1996-01-08","Active","Long Term","N","2013-03-30","Y","2013-03-30","Faxed 28 Mar 15","2012-02-10","2013-03-29","2014-02-01","Arthritis (DJD) knee","Limited standing",12488,"Parker",null,null,null,null,null,"X","X"]
["Expired",1010101,"Doe","Billy","1996-01-08","Active","Long Term","N","2013-03-28","Y","2013-03-28","Faxed 28 Mar 13","2012-02-10","2013-03-29","2014-02-01","Arthritis (DJD) knee","Limited standing",12486,"Parker",null,null,null,null,null,"X","X"]

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