California > Workers Comp > General
Notice Of Intention To Disallow Lien And Order DIA-29A - California
|Notice Of Intention To Disallow Lien And Order Form. This is a California form and can be used in General Workers Comp .||
|Get this form for FREE as a print-only pdf|
STATE OF CALIFORNIA DIVISION OF WORKERS' COMPENSATION Case No. Applicant vs. NOTICE OF INTENTION TO DISALLOW LIEN AND ORDER Defendant(s). IT APPEARING THAT Lien Claimant has failed to appear at the Hearing on NOTICE IS HEREBY given that the lien of shall be disallowed without further action Twenty (20) days after service hereof unless Good Cause to the contrary is shown in writing within said time. WORKERS' COMPENSATION JUDGE Personally served on Who agrees to serve all interested parties Dated: 2002 © American LegalNet, Inc.