Get a Form or Publication: attorney
Your search for "attorney" returned 3 documents.
See also
| Title | Type | Number |
|---|---|---|
| Third Party Recovery Worksheet
Used by third party attorneys to calculate distribution of proposed settlements in third party claims. |
Form | F249-006-111 |
| Application for Inclusion on List of Eligible Attorneys
Used by attorneys to be included on the Workers' Compensation Special Assistant Attorney General Program eligible list for Third Party claims. |
Form | F249-017-000 |
| Power of Attorney for Electronic Remittance Advice
Providers complete this form to authorize a clearinghouse or third party to receive the EDI 835 Electronic Remittance Advice file from L&I's Provider Express Billing (PEB). |
Form | F248-355-000 |
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