Intervention Cover Letter
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Intervention Cover Letter Form. This is a Minnesota form and can be use in Workers Comp.
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Tags: Intervention Cover Letter, MO0001, Minnesota Workers Comp,
Date:
Mailing Address:
Department of Labor and Industry
PO Box 64218
St. Paul, MN 55164-0218
Location:
Office of Administrative Hearings
600 North Robert Street
St. Paul, MN 55101
Re: Employee Name
Employee SSN or WID
Date(s) of Claimed Injury:
Dear Sir or Madam:
Enclosed for filing is a Motion/Application to Intervene of
(applicant)
and Affidavit of Service in the above-entitled matter. I am requesting that I be allowed to appear by telephone
for all administrative conferences, settlement conferences and pretrial conferences. I understand that
personal appearances are required for hearings unless permission to not appear is granted by the assigned
judge or a Stipulation of Intervention has been filed.
SIGNATURE
TYPED NAME
TELEPHONE NUMBER
Letter Attachment to MO0001 (5/08)
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