Form 14-0049 - Prehearing Conference Report printable pdf download

Form 14-0049 - Prehearing Conference Report

BEFORE THE IOWA WORKERS’ COMPENSATION COMMISSIONER

___________________________________,

File No(s). ________________________

Claimant,

________________________

-VS-

________________________

__________________________________, :

Defendant Employer,

PREHEARING CONFERENCE

__________________________________, :

REPORT

Defendant Insurance Carrier.

_________________________________________________________________________________

After conferring with each other, the parties report as follows:

Consolidation. Unless a resistance is attached, all of claimant’s claims now pending

shall be consolidated for hearing.

Certification of Readiness. Check one of the following alternatives:

( ) The parties are not able to agree that case preparation will be complete within 12

months from the date of this report. A prehearing conference before a deputy is

requested.

( ) All parties expect to complete case preparation by the _____ day of

___________________, _____. Scheduling of the hearing after this date is

requested.

Issues for Hearing. Complete the reverse side of this form. Inclusion of an issue in

this report is deemed an amendment to the applicable pleading.

Length of Hearing. All hearings will be scheduled for a minimum of 3 hours. If more

time is needed, attach written justification. Claimant is to be allocated ______hours

and defendant will have the balance. (Note: Hearings exceeding 3 hours may be

scheduled in Des Moines. Hearing exceeding 5 hours will be scheduled in Des

Moines.)

Signed and agreed this ______ day of ______________, ________.

___________________________________

____________________________________

ATTORNEY FOR CLAIMANT

ATTORNEY FOR DEFENDANT(S)

___________________________________

_____________________________________

ATTORNEY FOR____________________

ATTORNEY FOR_____________________

ALL PARTIES MUST SIGN ON THE SAME FORM

OR SHOW CAUSE FOR NOT DOING SO

Form 14-0049 - Prehearing Conference Report