Code of Maine Rules
90 - INDEPENDENT AGENCIES
351 - WORKERS' COMPENSATION BOARD
Chapter 12 - FORMAL HEARINGS
Appendix 351-12-I - Joint Scheduling Memorandum

Current through 2024-13, March 27, 2024

__________________________

Administrative Law Judge

STATE OF MAINE WORKERS' COMPENSATION BOARD

_______________________________ __________________________

DOI

v.

__________________________

WCB#

_______________________________

JOINT SCHEDULING MEMORANDUM

1. Name of each witness to be called to testify and the amount of time required for each witness' testimony:

Employee: Employer:

2. Total amount of time required for hearing: _____________.

3. Relief requested, including nature and period of incapacity:

4. Issues, including affirmative defenses:

5. Section 312 examination requested?: Yes No When:___________ With whom:________________________

6. Section 207 examination requested?: Yes No When:___________ With whom:________________________

I represent that I have conferred with opposing parties or their representatives in preparation of this Joint Scheduling Memo and they agree with the contents except as follows:

I affirm that the parties have exchanged information as provided in this chapter.

Dated: ________________________________

Petitioner or Petitioner's Representative

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