This government document is issued by Department of Industrial Accidents (DIA) for use in Massachusetts
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https://www.mass.gov/doc/form-121a-agreement-that-no-impartial-physician-report-is-required/download?_ga=2.225841306.1854129817.1751542062-2000327536.1747311789&_gl=1*aioku8*_ga*MjAwMDMyNzUzNi4xNzQ3MzExNzg5*_ga_MCLPEGW7WM*czE3NTE1NDIwNjIkbzY4JGcxJHQxNzUxNTQ2MjA5JGo2MCRsMCRoMA..