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Claim For Trial - Rhode Island

Claim For Trial Form. This is a Rhode Island form and can be used in Workers Compensation Court Workers Comp .
 Fillable pdf Last Modified 4/6/2005
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0 PROVIDENCE, SC. WORKERS COMPENSATION COURT ) ) V5. ) w.c.c. No. ) ) ) Claim for a trial pursuant to Rhode Island General Laws, Section 28-35-20(d), as enacted, by Public Laws, 1990, Chapter 332 and Workers Compensation Court Rule of Practice 2~3 A. And now in the above-entitled cause, within five (5) days of the date of the entry of an order, exclusive of Saturdays, Sundays, and holidays, the beingaggrieved by the entry of an order resulting from a Pretrial Conference on hereby files claim for a trial to the Workers Compensation Court Appellant Attorney and Registration No. Address Ol17W P.94 Telephone Number White -File Copy Yellow -Petitioners Attorney Pink -ResJX>ndents Attorney
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