Entry of Appearance

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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











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E. Certificate of Mailing

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

Claimant/Respondent or their Representative









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Employer or their Representative









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Other









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