Order Approving Compromise And Release Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Approving Compromise And Release Form. This is a California form and can be use in General Workers Comp.
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Tags: Order Approving Compromise And Release, DIA WCAB 65, California Workers Comp, General
WORKERS' COMPENSATION APPEALS BOARD STATE OF CALIFORNIA Case No. Applicant vs. Order Approving Compromise and Release Defendants The parties to the above-entitled action having filed a Compromise and Release herein, on settling this case for $ in addition to all sums which may have been paid previously, and requesting that it be approved; and this Board having considered the entire record, including said Compromise and Release, now finds that it should be approved. IT IS ORDERED that said Compromise and Release be approved. Award is made in favor of: Dated Service by mail on parties as shown on Official Address Record effected on above date. Judge, WORKERS' COMPENSATION APPEALS BOARD BY: DIA WCAB FORM 65 (REV. 5-75) DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF INDUSTRIAL ACCIDENTS American LegalNet, Inc. www.FormsWorkflow.com