Application For Adjudication Of Claim {WCAB 1} | Pdf Fpdf Docx | California

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Application For Adjudication Of Claim {WCAB 1} | Pdf Fpdf Docx | California

Last updated: 5/26/2020

Application For Adjudication Of Claim {WCAB 1}

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DWC/WCAB Form 1A, APPLICATION FOR ADJUDICATION OF CLAIM, FILING AND SERVICE OF A DECLARATION OF READINESS IS A PREREQUISITE TO THE SETTING OF A CASE FOR HEARING. Effect of Filing Application: Filing of this application begins formal proceedings against the defendant(s) named in your application. Assistance in Filling Out Application: You may request the assistance of an information and assistance officer of the Division of Workers' Compensation. Right to Attorney: You may be represented by an attorney or agent, or you may represent yourself. The attorney's fee will be set by the Workers' Compensation Appeals Board at the time the case is decided and is ordinarily payable out of your award. (Rev. 5/2020).

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