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Stipulation And Order Granting Payment Of Lien Claim WC-903 - California
|Stipulation And Order Granting Payment Of Lien Claim Form. This is a California form and can be used in General Workers Comp .||
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STATE OF CALIFORNIA DIVISION OF WORKERS' COMPENSATION Case No. Applicant vs. STIPULATION AND ORDER GRANTING PAYMENT OF LIEN CLAIM Defendants Jurisdiction having been reserved on payment of lien claim of in the amount of , the parties having stipulated to a resolution of said lien claim, and GOOD CAUSE APPEARING THEREFOR: IT IS ORDERED that Defendant pay to Lien Claimant, the sum of in full satisfaction of said lien. , WORKERS' COMPENSATION JUDGE Personally served on Who agrees to serve all interested parties Dated: BY: WC-903 2002 © American LegalNet, Inc.