Oklahoma > Workers Comp

Subject Line Detail Authorization - Oklahoma

Subject Line Detail Authorization Form. This is a Oklahoma form and can be used in Workers Comp .
 Fillable pdf Last Modified 3/18/2014
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Robert H. Gilliland Chairman Jordan Russell Commissioner STATE OF OKLAHOMA Mark Liotta Commissioner Kim Bailey Executive Director WORKERS' COMPENSATION COMMISSION 1915 N STILES AVE STE 231 OKLAHOMA CITY, OKLAHOMA 73105-4919 www.ok.gov/wcc (405) 522-3222 SUBJECT LINE DETAIL AUTHORIZATION By signing below you authorize the Commission to add the Subject Line Detail to your copy process. This will become a required field each time you make copies at either of the public access copiers ­ Oklahoma City Records or Tulsa. Please print your name, your firm name and sign below. We will amend your login to include this process: _________________________________________________ Print Name _________________________________________________ Print Firm Name _________________________________________________ Signature Revised 3/13/17 American LegalNet, Inc. www.FormsWorkFlow.com Tulsa Location - 212 Kerr State Office Building - 440 South Houston - Tulsa, Oklahoma 74127-8916 - (918) 295-3732
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