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Get KS K-WC 12 2014-2024

Date of hearing: Place of hearing: Appearances: Claimant appeared by: Respondent (and insurance company) appeared by: Workers' Compensation Fund appeared by: Date of accident: Place of accident: Average weekly wage: $ Compensation paid: $ Medical evidence to be admitted: Medical and hospital expenses: Basis of Settlement: 1. Compromise $ on a strict compromise of the following issues: 2. Scheduled Injuries $ for amputation of permanent p.

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Keywords relevant to KS K-WC 12

  • respondent
  • SW
  • Settlements
  • gov
  • blvd
  • Topeka
  • Amputation
  • Docket
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