Application for Inclusion on List of Eligible Attorneys

Application for Inclusion on List of Eligible Attorneys - (Forms/Publications)
Document Information
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Title Application for Inclusion on List of Eligible Attorneys (A fillable form - 65 KB PDF)
Description Used by attorneys to be included on the Workers' Compensation Special Assistant Attorney General Program eligible list for Third Party claims.
Detail
Form number F249-017-000
Availability
Online only. See document above to download.
Keywords AAG, claims, industrial insurance, lawyer, worker's compensation, workers compensation
Languages English
Valid dates 08-2011
Contact information Third Party Claim Cost Recovery
Web pages Workers' Comp Claims
Injured by a Third Party?

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