Affidavit Of Defendant Re Resolution Of Liens {WCAB-003} | Pdf Fpdf Doc Docx | California

 California /  Workers Comp /  General /
Affidavit Of Defendant Re Resolution Of Liens {WCAB-003} | Pdf Fpdf Doc Docx | California

Affidavit Of Defendant Re Resolution Of Liens {WCAB-003}

This is a California form that can be used for General within Workers Comp.

Alternate TextLast updated: 5/30/2015

Included Formats to Download
$ 13.99

Description

STATE OF CALIFORNIA WORKERS' COMPENSATION APPEALS BOARD Case No. Applicant, vs. AFFIDAVIT OF DEFENDANT RE: RESOLUTION OF LIENS Defendants. I, , am the attorney or representative for defendant in the above-entitled matter. I have made the following good faith efforts to resolve each of the Iiens in this case. List ALL lien claims below. Use supplemental pages as necessary. Lien Claimant Nature and Date of Lien Resolution Efforts Result I declare under penalty of perjury that the foregoing is true and correct and that this affidavit was executed at , California on , . 2002 © American LegalNet, Inc. Supplemental Page Case No. Re: Resolution of Liens Lien Claimant Nature and Date of Lien Resolution Efforts Result I declare under penalty of perjury that the foregoing is true and correct and that this affidavit was executed at California, on , . 2002 © American LegalNet, Inc.

Our Products