Transcription of WORKERS’ COMPENSATION APPEALS BOARD
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WORKERS’ COMPENSATION APPEALS BOARD
_____ _____ hereby substitutes and _____ _____ _____ _____ _____ STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF WORKERS COMPENSATION WORKERS COMPENSATION APPEALS BOARD Case No. Applicant vs. SUBSTITUTION OF ATTORNEYS Defendant(s) _____ appoints _____ as his attorney in the above entitled case, in the place of _____ who respectively consent hereto.
attorneys. Dated _____. Copies have been served on: (Adverse Parties and Attorneys) (Client) (Former Attorney) (Address and Telephone Number of Attorney) (Present Attorney) (Address and Telephone Number of Attorney) DWC WCAB Form 36 (Rev. 1-99) Title: WORKERS’ COMPENSATION APPEALS BOARD ...
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