Amended Order
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Amended Order Form. This is a New Jersey form and can be use in Settlement Workers Comp.
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Tags: Amended Order, WC-8, New Jersey Workers Comp, Settlement
C.P. #’s:
State of New Jersey
Department of Labor
and Workforce Development
Division of Workers' Compensation
AMENDED ORDER
S.S.#:
Petitioner
Vs.
Respondent
IT APPEARING that the ATTACHED ORDER dated _______________ in this matter contained an error
or errors. IT IS on this _______day of _________________, ______, ORDERED that the said attached ORDER is
hereby AMENDED as follows:
Date
Judge of Compensation
We hereby consent to the entry and form of this Order and acknowledge receipt of a copy of same.
Attorney for Petitioner
Attorney for Respondent
Copies of this Amended Order were mailed and/or otherwise delivered to counsel for all parties. If no objection to this correction is
received within seven (7) days from the above date, then such Amended Order shall be deemed effective. All other aspects of the
original Order remain in full effect.
WC-8 (8-09)
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