Workers' Compensation

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  Subpoena of Witness

  MSWCSW $69.00
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  Subpoena Packet

  LAWC1006 $69.00
• 

  Summons

  NMWC_SUMMONS $69.00
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  Summons for Application to Workers’ Comp Judge

  NMWCSAWCJ $69.00
• 

  Supplemental Agreement as to Payments of Compensation

  NCWC26 $69.00
• 

  Supplemental Agreement to Pay Benefits

  VAWC-4A $89.00
• 

  Supplemental Report

  ARWCS $69.00
• 

  Supplemental Report of Accident

  COWC12 $89.00
• 

  Supplemental Report of Varying Temporary Partial Payments

  SCWC15S $69.00
• 

  Supplementary Report

  VAWC-3A $89.00
• 

  TDI DWC-1: Employer’s First Report of Injury or Illness

  TDIDWC1 $89.00
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  TDI DWC-2: Employer’s Report for Reimbursement of Voluntary Payment

  TDIDWC2 $89.00
• 

  TDI DWC-22: Required Medical Examination Notice or Request for Order

  TDIDWC22 $89.00
• 

  TDI DWC-3: Employer’s Wage Statement

  TDIDWC3 $89.00
• 

  TDI DWC-32: Request for Designated Doctor

  TDIDWC32 $89.00
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  TDI DWC-3SD: Employer’s Wage Statement for School Districts

  TDIDWC3SD $89.00