Order Approving Compromise And Relase Third Party Settlement Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Approving Compromise And Relase Third Party Settlement Form. This is a California form and can be use in General Workers Comp.
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Tags: Order Approving Compromise And Relase Third Party Settlement, DIA WCAB 67, California Workers Comp, General
DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF INDUSTRIAL ACCIDENTS WORKERS' COMPENSATION APPEALS BOARD STATE OF CALIFORNIA Case No. Applicant vs. Order Approving Compromise and Release (THIRD PARTY SETTLEMENT) Defendants The parties to the above-entitled action having filed a Compromise and Release herein, on , wherein the details of a third party settlement are set out in full. This Board, having considered the entire record, now finds that said Compromise and Release should be approved. GOOD CAUSE APPEARING THEREFOR: IT IS HEREBY ORDERED that said Compromise and Release be and it is hereby approved. SERVED BY MAIL ON PERSONS SHOWN ON THE OFFICIAL ADDRESS RECORD Date: By: Referee, WORKERS' COMPENSATION APPEALS BOARD DIA WCAB FORM 67 (REV. 10-74) American LegalNet, Inc. www.FormsWorkflow.com