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Forms and Publications

Hearings and Settlements

K-WC D - Final Release (Rev. 11-16)
K-WC E 1 - Application for Hearing (Rev. 03-14)
K-WC E 2 - Surviving Spouse or Dependent / Heirs Application for Hearing (Rev. 03-14)
K-WC E 3 - Application for Preliminary Hearing (Rev. 03-14)
K-WC E 4 - Application for Post Award Medical (Rev. 03-14)
K-WC E 5 - Application for Review and Modification (Rev. 03-14)
K-WC E 6 - Application for Dismissal (Rev. 03-14)
K-WC 12 - Worksheet for Settlements: Injury Case (Rev. 03-14)
K-WC 13 - Worksheet for Settlements: Death Case (Rev. 05-14)
K-WC 14 - Practice & Procedure Guide (Rev. 11-15)
K-WC 28 - Information for Self-Represented Litigants (Rev. 06-12) has important information for injured workers
who are representing themselves in a hearing.
K-WC 112 - Annual Statement (Rev. 11-16)
K-WC 139 - Pre-Trial Stipulations (Rev. 11-16)
K-WC 160 - Statement Regarding Attorney Fees (Rev. 10-12)
K-WC 280 - Información Para Litigantes Representados A Si Mismos (Rev. 06-12) contiene información importante
para trabajadores lesionados que están representándose a si mismos en una audiencia.
K-WC 317 - Order for Production of Records (Rev. 10-12)
K-WC 321 - Joint Petition and Stipulation for Claim Settled (Rev. 6-13) Word     WordPerfect
K-WC 322 - Award on Joint Petition and Stipulation for Claim Settled (Rev. 6-13) Word     WordPerfect
K-WC 323 - Joint Petition and Stipulation for Reimbursement from WC Fund (Rev. 6-13) Word     WordPerfect
K-WC 324 - Order on Joint Petition and Stipulation for Reimbursement from WC Fund (Rev. 6-13) Word     WordPerfect
K-WC 325 - Award on Joint Petition and Stipulation for Structured Settlement or Annuity Contract (Rev. 6-13) Word     WordPerfect
K-WC 326 - Requirements for Joint Petition and Stipulations (Rev. 1-13)

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