Form 14-0041 - Dispute Resolution Conference Report - Iowa Workers' Compensation Commissioner Page 2

ADVERTISEMENT

4.
The parties can, for the purposes of this conference only, agree that:
5.
The parties wish to bring the following information to the deputy's attention:
6. The parties certify that they have made a good faith attempt to settle the
disputed issues. See, rule 876 IAC 10.1. If no attempts have been made, the
deputy
may cancel the mediation.
Submitted by,
____________________________
__________________________________
Claimant
Attorney for Claimant
___________________________
_________________________________
Representative of
Attorney for Defendant
Employer/Insurance Carrier
14-0041
09/98

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2