License Application

Document Number:  WKC-34

Description:  This is an application for a license to represent a party at a Worker's Compensation hearing.

Comments:  This form is not fill-enabled. It can be printed and completed by hand.

Content Contact:  Kathy Froehlich

Document Attachment:  WKC-34 (pdf/13 KB)

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

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