California > Workers Comp > General
Order Dismissing Lien WCAB-52A - California
| Order Dismissing Lien Form. This is a California form and can be used in General Workers Comp . |
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STATE OF CALIFORNIA WORKERS' COMPENSATION APPEALS BOARD Case No.: Applicant, vs. ORDER DISMISSING LIEN Defendants. ORDER Pursuant to Notice of Intention and no good cause to the contrary having been shown within the time allowed with regard to the lien of IT IS ORDERED that the above-mentioned lien balance is hereby dismissed with prejudice. be and the same Dated: Served by mail on said date on all persons shown on the Official Address Record. Workers' Compensation Judge By: Pursuant to Title 8, Chapter 4.5, Rule 10500 herein is designated as the party to serve this Order on all parties and lien claimants. WCAB-52A American LegalNet, Inc. www.USCourtForms.com
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