Pre-Trial Conference Statement Lien Issues Addendum {WCAB 24.1}

WCAB Form 24.1 -PRE-TRIAL CONFERENCE STATEMENT LIEN ISSUES ADDENDUM. This form is used in California workers’ compensation cases to document and clarify lien-related disputes during a pre-trial or mandatory settlement conference. Completed jointly by the defendant and each individual lien claimant, the addendum identifies the lien claimant, balance claimed, and the specific categories of entitlement at issue, such as treatment expenses, medical-legal costs, interpreting charges, penalties, and interest. It also captures defenses and dispute factors including necessity of treatment, reasonableness of charges, MPN issues, 24-visit cap questions, certification requirements, AOE/COE, statute of limitations, laches, and potential appeals of IMR or IBR determinations. www.FormsWorkflow.com