Office of Administrative Hearings

Workers' Compensation General Forms

Appeals
Attorney Fees
- Contested Matter Fee Agreement (Word doc)
- Lump Sum Withholding of Attorneys Fee (Word doc)
- Med and Rehab Fee Order (Contested With Agreement) (Word doc)
- Med and Rehab Fee Order (Uncontested) (Word doc)
- Ongoing Payments Order (Word doc)
- Rehab Benefits Fee Order (Word doc)
- Uncontested Matter Fee Agreement (Word doc)
- Unknown Amount Withheld Fee Order (Word doc)
Awards on Stipulation
- Award on Stipulation (Word doc)

Certificate of Readiness (COR)
- Procedures
- Certificate of Readiness Instructions (Word doc)
- Certificate of Readiness Form (Word doc)
- Objection to Readiness Form (Word doc)
- Affidavit of Service (Word doc)

Continuance Requests
- Request for Continuance Form (Word doc)

Dismissals
- Order Dismissing Intervenor (Word doc)
- Order Dismissing Parties (Word doc)
- Order Dismissing Pleadings (Word doc)

Independent Medical Examinations (IME)
- IME Extension Agreement (Word doc)
- Medical Testimony Agreement (Word doc)
- IME Extension & Medical Testimony Orders Memo (Word doc)
Interventions
- Intervention Cover Letter (pdf)
- Intervention Motion (pdf)
- Intervention Stipulation (pdf)
- Intervention Service Affidavit (pdf)

Pretrial Statements
- Standing Order

Subpoenas
- Procedures
- Subpoenas PowerPoint Presentation

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