A. A hearing shall be requested by filing a Form 15, Form 50 or Form 52 with the Commission’s Judicial Department as provided below:
- (1) The party shall mark the box at the signature line on the Form 50 or Form 52 which states, I am requesting a hearing or sign and date under Section III of the Form 15 “Notice to Injured Worker or Legal Representative When Temporary Compensation Has Been Stopped.”
- (2) The form shall be addressed and delivered to the Judicial Department pursuant to R.67-205.
- (3) The Commission shall serve the Form 15, Form 50 or Form 52 on the employer pursuant to R.67-210 and R.67-211.
- (4) When under the laws of this State the employer and its insurance carrier, if any, are required by law to be represented by an attorney in a contested case hearing, an attorney shall be designated according to R.67-603.
- (5) The WCC file number or Coverage Coding Form must be included.
- B. When a party files a Form 50 or Form 52 with the Commission requesting a hearing, the Form 50 also serves to file the claim if a claim has not been filed before.
HISTORY: Amended by State Register Volume 19, Issue No. 5, eff May 26, 1995; State Register Volume 21, Issue No. 4, eff April 25, 1997; State Register Volume 34, Issue No. 2, eff February 26, 2010; SCSR 42-2 Doc. No. 4735, eff February 23, 2018.