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Expedited Settlement Conference Information Sheet - California
| Expedited Settlement Conference Information Sheet Form. This is a California form and can be used in General Workers Comp . |
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STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF WORKERS' COMPENSATION Workers' Compensation Appeals Board 303 West Third Street, Room 400 San Bernardino, California 92401-1888 GRAY DAVIS, Governor TEL: (714) 383-4341 EXPEDITED SETTLEMENT CONFERENCE INFORMATION SHEET DATE CALLED: CONF. DATE OF: FRIDAY, CASE NAME: CASE NOS.: -----------------------------------------------------------------------------------------------------------------------------------ON THOSE CASES WHERE NEW FILES ARE TO BE PREPARED DOI: @ 1:30 P.M. SS #: PART(S) OF BODY: APPL. ATTY OF RECORD: SAME DEFENDANT EMPLOYER: YES NO IF NO: NAME AND ADDRESS OF NEW EMPLOYER: SAME DEFENDANT CARRIER? YES IF NO: NAME AND ADDRESS OF NEW CARRIER: NO 2002 © American LegalNet, Inc.
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