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Statement of Attorney Fees and Costs (Downloadable PDF)

SA04
Minnesota worker's compensation statement of attorney fees and costs, for use by a lawyer for an injured employee to request legal fees and costs.

Statement of Attorney Fees and Costs (Downloadable PDF)
SA04
Minnesota
N/A
> Claims and Reports' itemprop="category">Claims and Reports

This form is only available as a downloadable PDF which will be made available to you after you complete your purchase.


$24.49 /ea.
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