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ENTRY OF APPEARANCE



Vs





WC #-###-###-##
Entry of Appearance


You are hereby notified that the undersigned attorney is entering his/her appearance in the above-captioned matter before the Office of Administrative Courts, pursuant to Rule 8(G), O.A.C.R.P. I am representing the following client(s): 



(Name of Party)
(Name of Party)
(Name of Party)
(Name of Party)
(Name of Party)
Signature
Please type your name in the box below.  By typing your name, you certify this information is accurate and certify that this will act as your binding electronic signature. 











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Certificate of Mailing

I hereby certify that I mailed or delivered the original of the Entry of Appearance to all parties at the addresses shown below (A claimant must provide a copy to the employer and the insurer, or their attorney):

Opposing Party 1 or their Representative









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Opposing Party 2 or their Representative









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Please type your name in the box below.  By typing your name, you certify this information is accurate and certify that this will act as your binding electronic signature. 


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