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 14 State Forms found

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Compromise Settlement Under Iowa Code § 85.35(3)

14-0025 Last Updated July 10, 2023

ORIGINAL NOTICE AND PETITION

 Form No. 100 - 14-0005 Last Updated July 1, 2023

Original Notice & Petition Concerning Application for Alternate Care

 Form 100C (14-0011) Last Updated July 1, 2023

HEARING REPORT

 14-0047 Sep. 2019

Authorization for Release of Information Regarding Claimant Seeking Workers’ Compensation Benefits

 14-0043 Effective July 1, 2023

Authorization to Release Confidential Information to Third Party

 14-0169 Last Updated July 2023

Iowa Child Labor Permit Instructions - Packet

 400-001 03.26.2018

EMPLOYER’S WAGE CLAIM RESPONSE FORM

 309-6059 (10-11)

Answer Concerning Application for Alternate Care

 Form 100C (14-0011A) Last Updated July 1, 2023

Answer Concerning Independent Medical Examination

 Form 100A (14-0007A) Last Updated July 1, 2023

Hearing Report - Second Injury Fund

 No Form Number No Form/Rev Date

Shorthand Reporter Identification

 Form 14-0178 Last Updated July 2023

Request or Waiver of the Mandatory Use of WCES

 Form 176 (Updated March 2023)

Authorization to Release Information

 Form 14-0196 July 2019
Disclaimer: These forms may not be the most recent version. Iowa may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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