Fill and Sign the Motion for Order of Remand Form

IN THE CIRCUIT COURT OF COUNTY, MISSISSIPPI CLAIMANT VS. CAUSE NO. EMPLOYER MOTION FOR ORDER OF REMAND Come now the claimant, s, and the , respectively, by and through thei r attorneys of record, and move the court for an Order of Remand of this case back to the Mississippi Workers' Compensation Commission and in support hereof, the parties would show the following, to-wit: 1. That this case was appealed from the Mississippi Workers' Compensation Commission, Order dated , . 2. That on , , the Circuit Court of County, Mississippi, affirmed the decision of the Commission. 3. That circumstances have arisen in the workers' compensation case which potentially require further adjudication by the Mississippi Workers' Compensation Commission and it is necessary for the Circuit Court of County to enter an Order of Rem and back to the Mississippi Workers' Compensation Commission so that the Commission will have further jurisdiction to appropriately address these matters. Respectfully submitted, this the day of , . _______________________________________ BY: Attorney For Claimant _________________________________________ BY: Attorney For Employer