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Request For Entry Of Judgment Judgment And Notice Of Entry Of Judgment LACIV215 - California
| Request For Entry Of Judgment Judgment And Notice Of Entry Of Judgment Form. This is a California form and can be used in Civil Los Angeles Local County . |
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NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER Reserved for Clerk's File Stamp ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT LABOR CODE SECTION 5806 AND ISSUANCE OF A WRIT OF EXECUTION AND/OR OTHER ENFORCEMENT REQUEST FOR ENTRY OF JUDGMENT The Clerk of the Court is requested to enter judgment in favor of: Plaintiff(s) Defendant(s) , pursuant to the Against Plaintiff(s) Defendant(s) Labor Code section 5806 as follows: a. b. c. d. e. f. g. Principal.................................................................................. $ Attorney Fees........................................................................... $ Costs (including civil filing fee and administrative charge).................. $ Amount of judgment requested .....................................................$ Prejudgment interest of the annual rate for % ...............$ Total judgment requested ........................................................... $ Plus interest after judgment at the legal rate. A certified copy of the Order Approving Compromise & Release form of the Division of Workers Compensation is attached. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: By: Attorney for LACIV 215 (New) LASC Approved 09-08 REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT LABOR CODE SECTION 5806 Labor Code,§ § 5806, 5811 Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com PLAINTIFF/PETITIONER (Name): DEFENDANT/RESPONDENT (Name): CASE NUMBER JUDGMENT AND NOTICE OF ENTRY OF JUDGMENT Judgment entered in favor of: Plaintiff(s) Against Defendant(s) Defendant(s) Plaintiff(s) a. b. c. d. e. f. g. Principal.................................................................................. $ Attorney Fees........................................................................... $ Costs granted by the Appeals Board . . . . . . . . . .............................. $ Amount of judgment requested .....................................................$ Prejudgment interest of the annual rate for % ...............$ Total judgment requested ........................................................... $ Plus interest after judgment at the legal rate. Judgment entered on . Dated: JOHN A. CLARKE, Executive Officer/Clerk By: Deputy Clerk CERTIFICATE OF MAILING I, the below-named Executive Officer/Clerk of the above-entitled court, do hereby certify that I am not a party to the cause herein, and that on this date I served the Request for Entry of Judgment, Judgment, and Notice of Entry of Judgment Labor Code section 5806 upon each party or counsel named below by depositing in the United States mail at the courthouse in , California, one copy of the original filed/entered herein in a separate sealed envelope to each address as shown below with postage thereon fully prepaid. JOHN A. CLARKE, Executive Officer/Clerk By: Deputy Clerk LACIV 215 (New) LASC Approved 09-08 REQUEST FOR ENTRY OF JUDGMENT, JUDGMENT, AND NOTICE OF ENTRY OF JUDGMENT LABOR CODE SECTION 5806 Labor Code,§ § 5806, 5811 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com
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