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Fill and Sign the Attorney Fee Election Kentucky Kentucky Form

Fill and Sign the Attorney Fee Election Kentucky Kentucky Form

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     Carrier:       Employer:             I elect to pay my attorney's fee out of my personal funds. I elect to have any attorney's fee paid in a lump sum and to have each of my My case has been settled for a lump sum. I elect to pay my attorney's fee out of             SUBSCRIBED AND SWORN to before me this                                Form 109Attorney Fee Election Adopted March 15, 1995 DEPARTMENT OF WORKERS CLAIMS FRANKFORT, KENTUCKY 40601 State's File: STANDARD FORM FOR Number ATTORNEY FEE ELECTION or: Carrier's File No. I hereby certify that my attorney has fully explained to me my options regarding the payment of attorney fees. I hereby select the following method: A .B.weekly benefits equally reduced until the defendants have recouped the amount of my attorney's fee. C. my lump sum settlement. , plaintiff herein, being duly sworn, states that the statement of the foregoing election is true. Plaintiff day of , 20 Notary Public or other authorized officer I hereby certify that I have fully explained the provisions of KRS 342.320 to my client. Attorney for Plaintiff

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