Hearing Forms

 

link opens in new browser tab  Hearing Request

PDF File:  1 page; Last revised June 14, 2024
 

Hearing Request

The Hearing Request form is to be completed by any party to a claim or his/her attorney/representative who wishes to request an Informal, Pre-Formal, Formal, Stip Approval, or Disfigurement/Scar hearing before an Administrative Law Judge in one of the Commission's eight District Offices.

 


 

link opens in new browser tab  Petition for Review

PDF File:  1 page; Last revised October 1, 2021
 

Petition for Review

The Petition for Review form is to be completed by any party to a claim or his/her attorney/representative who wishes to file an appeal with the Workers’ Compensation Commission’s Compensation Review Board (CRB).

 


 

link opens in new browser tab  Notification of Appearance

PDF File:  1 page; Last revised March 17, 2006
 

Notification of Appearance

The Notification of Appearance form must be completed by the attorney/representative of any party to a claim to notify the Workers’ Compensation Commission of who will be representing that particular party before the Commission.

 


 

link opens in new browser tab  Hearing CANCELLATION Request

PDF File:  1 page; Last revised October 1, 2021
 

Hearing CANCELLATION Request

The Hearing CANCELLATION Request form is to be completed by any party to a claim or his/her attorney/representative who wishes to cancel a previously-scheduled Informal or Pre-Formal hearing before an Administrative Law Judge. (It is not to be used for a Formal hearing.)

[NOTE: Read about the Hearing Cancellation Request Form for Informal and Pre-Formal Hearings BEFORE using this form.]

 


 

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