WORKERS' COMPENSATION APPEALS BOARD STATE OF CALIFORNIA Case No. NOTICE OF HEARING Trial Calendar Conference Calendar Applicant vs Rating Calendar Settlement Calendar Standby Workers' Compensation Judge Cross Examination Rater Defendants Doctor Change of Time or Place You are hereby notified that the above entitled case is set for hearing before the Workers' Compensation Appeals Board of the State of California at CONTINUANCES ARE NOT FAVORED AND WILL BE GRANTED ONLY UPON CLEAR SHOWING OF GOOD CAUSE. NOTE TO INSURED EMPLOYERS: Your attendance at this hearing may not be necessary. Ask your insurance company. Dated SERVICE BY MAIL ON PARTIES AS SHOWN ON OFFICIAL ADDRESS RECORD EFFECTED ON ABOVE DATE WORKERS' COMPENSATION JUDGE By DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF INDUSTRIAL ACCIDENTS DIA WCAB Form 12 (REV. 10-75) 86 39002 2002 © American LegalNet, Inc.