Legal Forms >> North Dakota >> Workers' Compensation
Form #:ND-WC-SFN12427 North Dakota workers compensation form for a questionnaire to be completed by an injured employee, regarding how his or her inuries were caused, with notice of the state's right to a lien on any recovery from a third-party.
Name:Third Party Notice and Questionnaire Form Number: ND-WC-SFN12427 State:North Dakota Statute: Form Category:Workers' Compensation
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