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: Lynn Weinberger

Document Attachment: WKC-34 (pdf/179 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.