Employers Contest Of Proposed Judgment Of Noncompliance {CC-Form-40}

CC-FORM-40 - EMPLOYER'S CONTEST OF PROPOSED JUDGMENT OF NONCOMPLIANCE AND REQUEST FOR HEARING. This form is issued by the Oklahoma Workers’ Compensation Commission (WCC) for employers who wish to dispute a proposed judgment or assessment related to alleged noncompliance with workers’ compensation coverage requirements under 85A O.S. §40. The employer must state the grounds for contesting the proposed judgment and request a hearing before the Commission. The form requires employer and attorney contact information, signatures, and certification under penalty of perjury, with a warning that making false statements constitutes a felony under 85A O.S. §6(A)(1)(a). www.FormsWorkflow.com