Notice Of Motion {WC-7}

State of New Jersey Department of Labor and Workforce Development DIVISION OF WORKERS' COMPENSATION WC-7 (12-07 interactive) CASE NO'S.: NOTICE OF MOTION VICINAGE: TAX IDENTIFICATION NUMBER NAME: PETITIONER ADDRESS: ATTORNEY FOR PETITIONER NAME: ADDRESS: vs RESPONDENT NAME: TELEPHONE NUMBER (AREA CODE): INSURANCE CARRIER ADDRESS: NAME : SELF-INSURED NOT-COVERED ADDRESS: ATTORNEY FOR RESPONDENT NAME: ADDRESS: CLAIM NUMBER: TELEPHONE NUMBER (AREA CODE): TO: (ADDRESS) Please take Notice that on a date to be set by the Court, the undersigned will move for the following relief: Movant will rely upon the following in support of this motion: Dated: Attorney for American LegalNet, Inc. www.FormsWorkflow.com