California > Workers Comp > General
Petition For Order Allowing Attorney's Fees WC-900 - California
|Petition For Order Allowing Attorney's Fees 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 WORKERS' COMPENSATION APPEALS BOARD Case No. Applicant, vs. Defendant. Allowing Attorney's Fees Petition for Order , and requests that the COMES NOW the Applicant's attorney, Workers' Compensation Appeals Board issue an Order Allowing Attorney's Fees for services rendered in obtaining vocational rehabilitation benefits. Services Rendered Time Spent Attorney Conferences Correspondence received and reviewed Correspondence prepared and mailed Total time: Hourly rates: VRTD rate $ /wk Periods of VRTD $ $ $ $ hrs. hrs. hrs. hrs. /hr. $ Paralegal hrs. hrs. hrs. hrs. /hr. Aggregate VRTD paid Less amount withheld for attorney's fees Net VRTD received by the Applicant Total fees requested: $ Resume of rehabilitation: The Applicant's initial vocational objective was The vocational counselor was , who recommended that Applicant select . . Training was/was not successful. The Applicant is/is not now employed as a . Date A proposed order for attorneys' fees is attached. Copies served on: Attorney for Applicant WC-900 2002 © American LegalNet, Inc.