Petition To Reopen
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Petition To Reopen Form. This is a California form and can be use in General Workers Comp.
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Tags: Petition To Reopen, DWC WCAB 42, California Workers Comp, General
Department of Industrial Relations Division of Workers' Compensation WORKERS' COMPENSATION APPEALS BOARD STATE OF CALIFORNIA ) ) ) Applicant, ) ) ) ) ) ) Defendants ) Case No. vs. PETITION TO REOPEN Petitioner hereby requests that the above-entitled action be reopened for the following reasons: PROOF OF SERVICE (WCAB RULE 10514) On _____________ at ___________________ (date) (place) ____________________________________ Petitioner Copy mailed to following addresses: _____________________________________ ____________________________________ Address ____________________________________ Attorney for Petitioner ____________________________________ Address of Attorney _____________________________________ _____________________________________ ___________________________ (Signature) DWC/WCAB FORM 42 (REV. 8-85) American LegalNet, Inc. www.USCourtForms.com
