Order Dismissing Lien {WCAB-52A} | Pdf Fpdf Doc Docx | California

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Order Dismissing Lien {WCAB-52A} | Pdf Fpdf Doc Docx | California

Order Dismissing Lien {WCAB-52A}

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

Alternate TextLast updated: 5/30/2015

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STATE OF CALIFORNIA WORKERS' COMPENSATION APPEALS BOARD Case No.: Applicant, vs. ORDER DISMISSING LIEN Defendants. ORDER Pursuant to Notice of Intention and no good cause to the contrary having been shown within the time allowed with regard to the lien of IT IS ORDERED that the above-mentioned lien balance is hereby dismissed with prejudice. be and the same Dated: Served by mail on said date on all persons shown on the Official Address Record. Workers' Compensation Judge By: Pursuant to Title 8, Chapter 4.5, Rule 10500 herein is designated as the party to serve this Order on all parties and lien claimants. WCAB-52A American LegalNet, Inc. www.USCourtForms.com

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