Legal Forms >> Iowa >> Workers' Compensation
Form #:IA-WC-14-0163 Iowa form for a workers compensation claimant's statement regarding a proposed settlement of an injured employee's claim for benefits, for use only by an unrepresented employee or claimant who does not have an attorney.
Name:Iowa Workers Compensation Claimant's Statement (Nonrepresented Claimant) Form Number: IA-WC-14-0163 State:Iowa Statute: Form Category:Workers' Compensation
This form is only available as a downloadable PDF which will be made available to you after you complete your purchase.
Search MillerDavis.com for legal forms and specialty products.
All of our forms include standard shipping at no additional cost.