Iowa Administrative Code
Agency 876 - WORKERS' COMPENSATION DIVISION
Chapter 6 - SETTLEMENTS AND COMMUTATIONS
Rule 876-6.7 - Claimant statement
Universal Citation: IA Admin Code 876-6.7
Current through Register Vol. 46, No. 19, March 20, 2024
When the claimant is not represented by counsel, a claimant's statement on Form 14-0163, which the claimant has personally completed, certified and signed, must be submitted with all settlement and commutation forms and documents.
This rule is intended to implement Iowa Code sections 85.35 and 86.8.
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