Rule 1.301, Form No. 17
IN THE WORKERS' COMPENSATION COURT OF THE
STATE OF OKLAHOMA
(Name of Claimant)
Workers’ Compensation Court
(Names of Respondent(s))
Supreme Court No. __________
NOTICE OF COMPLETION OF WORKERS' COMPENSATION COURT
RECORD FOR REVIEW BY SUPREME COURT
I certify that the record on appeal has been completed on this date and is ready for transmission
to the Supreme Court, and that I have this date given notice in writing to that effect to all parties
to the action, or to their counsel of record as listed below, by mailing a copy of this notice to
them by First Class U.S. Mail.
Dated this __________ day of _______________, 20_____.
(Name of Court Clerk), Court Clerk
Workers' Compensation Court
Clerk of the Supreme Court
(Name of Claimant or Counsel of record).
(Names of Respondents or their counsel of record).