STATE OF CALIFORNIA WORKERS' COMPENSATION APPEALS BOARD Case No. Applicant, Petition for Order Allowing Attorney's Fees vs. Defendant. , and requests that the COMES NOW the Applicant's attorney, Workers' Compensation Appeals Board issue an Order Allowing Attorney's Fees for services rendered in obtaining vocational rehabilitation benefits. Services Rendered Time Spent Attorney Paralegal Conferences hrs. hrs. Correspondence received and reviewed hrs. hrs. Correspondence prepared and mailed hrs. hrs. hrs. hrs. Total time: Hourly rates: VRTD rate $ $ /wk /hr. $ /hr. Periods of VRTD Aggregate VRTD paid $ Less amount withheld for attorney's fees $ Net VRTD received by the Applicant $ Total fees requested: $ Resume of rehabilitation: The Applicant's initial vocational objective was The vocational counselor was . , who recommended that Applicant select . Training was/was not successful. The Applicant is/is not now employed as a . Date A proposed order for attorneys' fees is attached. Copies served on: Attorney for Applicant WC-900 2002 © American LegalNet, Inc.