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Affidavit Of Defendant Re Resolution Of Liens WCAB-003 - California

Affidavit Of Defendant Re Resolution Of Liens Form. This is a California form and can be used in General Workers Comp .
 Fillable pdf Last Modified 12/10/2002
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STATE OF CALIFORNIA WORKERS' COMPENSATION APPEALS BOARD Case No. Applicant, vs. AFFIDAVIT OF DEFENDANT RE: RESOLUTION OF LIENS Defendants. I, , am the attorney or representative for defendant in the above-entitled matter. I have made the following good faith efforts to resolve each of the Iiens in this case. List ALL lien claims below. Use supplemental pages as necessary. Lien Claimant Nature and Date of Lien Resolution Efforts Result I declare under penalty of perjury that the foregoing is true and correct and that this affidavit was executed at , California on , . 2002 © American LegalNet, Inc. Supplemental Page Case No. Re: Resolution of Liens Lien Claimant Nature and Date of Lien Resolution Efforts Result I declare under penalty of perjury that the foregoing is true and correct and that this affidavit was executed at California, on , . 2002 © American LegalNet, Inc.
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