Verification (Commutation Of Future Payments) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Verification (Commutation Of Future Payments) Form. This is a California form and can be use in General Workers Comp.
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Tags: Verification (Commutation Of Future Payments), California Workers Comp, General
VERIFICATION STATE OF CALIFORNIA County of ___________________________________________ I, the undersigned, say that I am ________________________________________, a party to this action. I have read the foregoing Petition for Commutation of Future Payments and know the contents thereof, and that the same is true of my own knowledge, except as to the maters which are therein stated upon my information or belief, and as to those matters that I believe to be true. I declare under penalty of perjury that the foregoing is true and correct. Executed on _____________________ at __________________________________, California. __________________________________________ Petitioner April 2014 American LegalNet, Inc. www.FormsWorkFlow.com