Get Siptulation Of Parties And Award Of Compensation H-34. Form H-35 Version 9/2003 - Wcc State Md

Filling out the Siptulation Of Parties And Award Of Compensation H-34 form can seem daunting, but this guide will provide you with step-by-step instructions to simplify the process. Whether you are familiar with legal documents or a first-time user, our clear guidelines will help you complete the form accurately.

Follow the steps to successfully complete your form online.

1. Click the ‘Get Form’ button to access the form and open it in the designated online editor.
2. Identify the date of the stipulation by filling in the day and month where prompted at the top of the form.
3. Enter the WCC claim number in the designated field, ensuring it is accurately reflected.
4. Fill in the information regarding the claimant, including their name and social security number.
5. Provide the name of the employer and the insurance company, ensuring each is correctly indicated.
6. Document the date of the accident and the employee's average weekly wage, including any amendments if applicable.
7. Select between temporary total or temporary partial compensation where required.
8. Attach the medical evaluation reports from the claimant’s and insurer’s doctors as instructed.
9. Specify any agreed permanent partial disability and the compensation rate, ensuring to include all relevant dates and week counts.
10. Review all information for accuracy, and have the claimant and respective parties sign the document as indicated.
11. Finalize the form by saving any changes made, downloading a copy for your records, and preparing to share or print the form.

Complete your documents online today for a smoother filing process.