Legal Forms >> Iowa >> Workers' Compensation
Form #:IA-WC-14-0021 Iowa form for submitting an agreement for settlement of a workers compensation case or claim to the Commissioner for approval. The settlement waives or gives up the right to a hearing and benefits required by statute. Corroborating or supporting evidence for the settlement must be submitted with the agreement.
Name:Iowa Workers Compensation Agreement for Settlement Form Number: IA-WC-14-0021 State:Iowa Statute: Form Category:Workers' Compensation
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