Delaware > Statewide > Superior Court
Industrial Accident Board Appeal (Workmans Compensation) - Delaware
| Industrial Accident Board Appeal (Workmans Compensation) Form. This is a Delaware form and can be used in Superior Court Statewide . |
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Sample forms for filing an appeal from the Industrial Accident Board Appeal (Workman's Compensation) American LegalNet, Inc. www.FormsWorkflow.com INDUSTRIAL ACCIDENT BOARD APPEAL PRAECIPE SAMPLE (Workman's Compensation) IN THE SUPERIOR COURT OF THE STATE OF DELAWARE IN AND FOR COUNTY PRAECIPE ) ) ) ) ) ) ) ) ) ) ) Your Name Civil Action No. vs. Name of Company and Industrial Accident Board (if they are being named as a party) Please issue Citation on Appeal Name of Company Address of Company Industrial Accident Board 4425 N. Market Street Wilmington, DE 19802 Appellant Address Phone TO: Prothonotary American LegalNet, Inc. www.FormsWorkflow.com WRIT SAMPLE CITATION ON APPEAL UNDER RULE 72(e) IN THE SUPERIOR COURT OF THE STATE OF DELAWARE IN AND FOR COUNTY Your Name )C.A. No. _______________ ) ) )CITATION ON APPEAL FROM )THE DECISION OF: ) IAB ) ) DATED: __________ ) ) v. Name of Company and Industrial Accident Board (if they are being named as a party) THE STATE OF DELAWARE, TO THE SHERIFF OF _____________ COUNTY: YOU ARE COMMANDED: To cite the Industrial Accident Board so that, within 20 days after service hereof upon the Custodian of its records, exclusive of the day of service, the Custodian shall send to this Court a certified copy of the record of the proceedings below, including a typewritten copy of the evidence (unless all parties having an interest in the outcome of the appeal shall file with the Industrial Accident Board within 10 days from the filing of the Notice of Appeal, a written stipulation that the evidence may be omitted as a part of the record, in which case the stipulation shall be included as a part of the record), together with this citation. Dated:__________ SHARON AGNEW Prothonotary ______________________________ Per Deputy Industrial Accident Board Appeal Samples American LegalNet, Inc. www.FormsWorkflow.com
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