Rhode Island
Workers Comp
Workers Compensation Court
Last updated: 11/6/2025
Certificate Of Service
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Description
CERTIFICATE OF SERVICE. This is a required filing in the Rhode Island Workers’ Compensation Court confirming that copies of a petition and notice of pretrial conference have been mailed to all relevant parties. Attorneys use this form to certify service to the employee, employer, insurance company, or third-party administrator, as listed on the petition or cover sheet. The form includes spaces for the attorney’s signature, registration number, address, and telephone number. www.FormsWorkflow.com
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