Workers' compensation appeals board
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A copy has been served on all parties or their attorneys where they have attorneys. dated . copies have been served on: (adverse parties and attorneys). (client).
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______________________________________________ ______________________________________________ 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. A copy has been served on all parties or their attorneys where they have attorneys. Dated ____________________________________. Copies have bee...