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This language allows us to provide quality on-line services to you. To add a document to your cart and place an order, you must activate the JavaScript functions of your Web browser.
To use the Add to cart function, you must change your Web browser’s parameters to accept cookies. Once the parameters have been changed, you must refresh the Web page.
The B-076A form must be completed by the physician. The form allows the physician to write a report on the state of health of a person who applied for disability benefits.
An electronic signature is accepted on this form.