California > Workers Comp > DLSE Forms
Notice Of Appeal DLSE 537 - California
| Notice Of Appeal Form. This is a California form and can be used in DLSE Forms Workers Comp . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) -againstSUPERIOR COURT OF THE STATE OF CALIFORNIA JUSTICE COURT OF THE STATE OF CALIFORNIA COUNTY OF Index No. FOR No. CalendarCOURT USE ONLY : : : : JUDICIAL SUBPOENA JUDICIAL DISTRICT Defendant(s) : ...................................................... PLAINTIFF DEFENDANT THE PEOPLE OF THE STATE OF NEW YORK NOTICE OF APPEAL COURT NUMBER TO NOTICE OF APPEAL of the Order, Decision or Award of the Labor Commissioner in State Case Number , dated , and served upon the undersigned appellant, , , is given and filed pursuant to Labor Code Section 98.2. GREETINGS: on WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Appellant attaches and requests that the Clerk of the Court set the , the Honorable as Exhibit "A" a copy of the Order, Decisionthe Award appealed Court at or cause for hearing before the above-entitled court, where it shall be heard de novo in accordance with Labor Code Section 98.2, and that located at County of the Clerk of the Court give Notice of time, date and place of the new trial to each of the following parties and the Labor Commissioner's in room , on the day of , 20 , at o'clock in the noon, and at any recessed office at the places listed below. Appellant certifies that a copy of this Notice of Appeal has been served upon the Labor Commissioner or adjourned date, to testify and give evidence as a witness in this action on the part of the and a copy has been mailed to the Respondent, as shown below. APPELLANT (OR ATTORNEY) (NAME, ADDRESS, TELEPHONE NUMBER) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. OFFICE OF THE LABOR COMMISSIONER (ADDRESS AND TELEPHONE NUMBER) STATE LABOR COMMISSIONER Witness, Honorable , one of the Justices of the day of , 20 Court in County, RESPONDENT (OR ATTORNEY) (NAME, ADDRESS, TELEPHONE NUMBER) (Attorney must sign above and type name below) Attorney(s) for L.C. 98 Dated: 85 35611 Office and P.O. Address Signature of Appellant State of California Department of Industrial Relations Division of Labor Standards Enforcement DLSE 537 (REV. 3/83) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: NOTICE OF APPEAL American LegalNet, Inc. www.USCourtForms.com
|
|||||||
