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- Amputation of Major Body Parts (Hand, Foot, Multiple Parts, etc.)
- Any Major Injury to High Wage Earners ($550/week or more)
- Any Major Injury
- In Age Group Under 25 Years or Over 60 Years
- Assault or Rape
- Burns (2nd or 3rd Degree) to 20% or More of Body
- Calcaneus - Heel Fracture(s)
- Crush Injuries
- Fractures, Major, Over Age 50
- Fractures, Multiple or Major Joints
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- Gunshot Wounds/Stabbing
- Head Injury, Any Loss of Consciousness or Disorientation
- Hospitalization at Time of Injury
- MVA (Motor Vehicle Accident) Requiring Emergency Transport
- Paralysis of Any Body Part
- Psychological Complications Likely Due to Injury
- Spinal Cord Injury, Questionable or Probable
- Toxic Exposure
- Trauma, Multiple
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