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Minutes Of Hearing DWC-CA 10245 - California
| Minutes Of Hearing Form. This is a California form and can be used in EAMS Forms Workers Comp . |
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STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF WORKERS' COMPENSATION MINUTES OF HEARING Case No. Hearing Information Before AT Trial Conf MSC Date of Hearing (MM/DD/YYYY) EXP. HEARING Lien Request Date (MM/DD/YYYY) Applicant First Name MI Last Name VS Defendants Employer Name (Please leave blank spaces between numbers, names or words) Appearances Applicant Present Not Present Attorney Hearing Rep Applicant Represented By Defendant Represented By Others Appearing Interpreter Party Making Request Joint Applicant Defendant Other Cert. No. Request For: Continuance OTOC Request By: Letter Telephone Position of Opposing Party Agree Oppose Unreachable Unknown DWC-CA form 10245 (11/2008) ( Page 1 ) Reason For Request Applicant: Illness Applicant: Vacation Applicant Now Represented Calendar Conflict: Applicant Applicant Requests Representation Calendar Conflict: Defense Consolidation Defense: Illness Calendar Conflict: Lien Claimant Defense: Vacation Further Discovery: Def Med Improper/Insufficient Notice by Party Non Appearance: Applicant Non Appearance: Witness Unavailability of Witnesses: Defense Board Reason Arbitration Bankruptcy Pending Change of Circumstances Dispute Resolved by Agreement Further Discovery: AME Joinder Further Discovery: App Med Further Discovery: Depo No Issues Pending New Application Non Appearance: Defense Settlement Pending Non Appearance: Lien Claimant Unavailability of Witnesses: Applicant Venue Defective Notice Insufficient Time to Start Recusal Reporter Not Available Insufficient Time to Finish Service Defective Other/ Comments Interpreter Not Available WCJ Not Available UEF Issues Good Cause Appearing, It is Ordered That the Request For Continuance Granted Days For Continuance Denied C&R OTOC Granted STIPS OTOC Denied OTOC DWC-CA form 10245 (11/2008) ( Page 2 ) Decision OTOC LIEN STIPS and ORDER Approved MSC Set On MM/DD/YYYY C&R / STIPS Submitted for Approval N.O.I. to Allow/Disallow Issued TRIAL LIEN TRIAL C&R / STIPS Approved CONF At CONTD TESTIMONY Location Before Judge Supplemental Pages Attached Pages Date - MM/DD/YYYY Notice To WORKERS' COMPENSATION ADMINSTRATIVE LAW JUDGE Pursuant to Rule 10500 you are designated to serve this/these document(s) on all parties. Served on parties and lien claimants present DWC-CA form 10245 (11/2008) ( Page 3 ) SUPPLEMENT TO MINUTES OF HEARING/ORDER/ORDER AND DECISION ON REQUEST FOR CONTINUANCE/ORDER TAKING OFF CALENDAR / NOTICE OF HEARING HEARING DATE MM/DD/YYYY Comment/Discussion/Motion Order(s) Served with the Minutes of Hearing WORKERS' COMPENSATION ADMINSTRATIVE LAW JUDGE DWC-CA form 10245 (11/2008) ( Page 4 )
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