Informal Dispute Resolution (IDR / Mediation)
Informal Dispute Resolution (IDR / Mediation)
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Access to Google products is needed to submit forms on this website. If you are unable to complete your request online, please call us at 800-599-5155 or 402-471-6468 and ask to speak with the Legal section to obtain a paper copy of this form.
This form is for vocational rehabilitation (VR) counselors, medical service providers, and independent medical examiner (IME) physicians requesting informal dispute resolution (IDR / Mediation). If you are NOT one of these parties, please fill out the general IDR request form.
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