Industrial Accident Board Sample Forms INDUSTRIAL ACCIDENT BOARD APPEAL PRAECIPE SAMPLE (Workman222s Compensation) IN THE SUPERIOR COURT OF THE STATE OF DELAWARE PRAECIPE Your Name ) ) v. ) Civil Action No. ) Name of Company ) ) And ) ) Industrial Accident Board ) (if they are being named ) as a party) ) Please issue Citation on Appeal Name of Company Address of Company Industrial Accident Board 4425 N. Market Street Wilmington, DE 19802 Appellant Address Phone Number To: Prothonotary American LegalNet, Inc. www.FormsWorkFlow.com Industrial Accident Board Sample Forms WRIT SAMPLE CITATION ON APPEAL UNDER RULE 72(e) IN THE SUPERIOR COURT OF THE STATE OF DELAWARE Your Name ) ) C.A. No. ) v. ) ) CITATION ON APPEAL FROM ) THE DECISION OF: Name of Company ) I.A.B.) and ) Dated: ) Industrial Accident Board ) (if they are being named ) as a party) ) THE STATE OF DELAWARE, TO THE SHERIFF OF COUNTY: YOU ARE COMMANDED: To cite Industrial Accident Board so that, within 20 days after service hereof upon the Custodian of its records, exclusive of the day of service, the Custodian shall send to this Court a certified copy of the record of the proceedings below, including a typewritten copy of the evidence (unless all parties having an interest in the outcome of the appeal shall file with the Industrial Accident Board within 10 days from the filing of the Notice of Appeal, a written stipulation that the evidence may be omitted as part of the record, in which case the stipulation shall be included as part of the record), together with this citation. Dated: Prothonotary Per Deputy American LegalNet, Inc. www.FormsWorkFlow.com