Rule 1.301, Form No. 15 IN THE WORKERS' COMPENSATION COURT OF THE STATE OF OKLAHOMA , Claimant, v. , Respondent, ) ) ) ) ) ) ) ) ) ) ) W.C.Ct. No. . Insurance Carrier. (If applicable) DESIGNATION OF RECORD FOR REVIEW OF AN ORDER OF THE WORKERS' COMPENSATION COURT _____ Designation of Record _____ Counter-Designation of Record _____ Amended Designation of Record A. DESIGNATION OF RECORD AND TRANSCRIPTS [Claimant or Respondent or Insurance Carrier] _________________ hereby designates the following for inclusion in the record for the Supreme Court's review in this case: American LegalNet, Inc. www.FormsWorkFlow.com B. DATE, SIGNATURE, AND SERVICE BY COUNSEL OR PARTY DATE: _______________, 20_____. Signature (Signature of Attorney or Pro Se Party) Attorney for (Claimant, Respondent, or Insurance Carrier) OBA No. Firm Address: [include email address if applicable] Telephone CERTIFICATE OF SERVICE I, ____________________, hereby certify that in addition to filing the original Designation of Record with the Clerk of the Workers' Compensation Court a copy of the foregoing Designation of Record was mailed this _____ day of __________ 20_____, to the following: [Names and Addresses of all parties or their counsel of record] American LegalNet, Inc. www.FormsWorkFlow.com