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Fill and Sign the State of Rhode Island and Providence Plantations Filed Form

Fill and Sign the State of Rhode Island and Providence Plantations Filed Form

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State of Rhode Island and Providence Plantations Providence, S c. Workers’ Compensation Court } vs. W.C.C. No. CLAIM FOR TRIAL The being aggrieved by the entry of an order resulting from a Pretrial Confere nce heard before Judge on hereby files a Claim for Trial to the Workers’ Compensation Court pursuant to R.I.G.L. § 28 -35 -20(d) . This Claim for Trial is being taken within five (5) days of the entry of the Pretrial Order, exclusive of Saturdays, S undays, and holidays. Appellant Attorney Name and Registration No. Address Telephone Number Rev. 02/15

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How to Sign a PDF on Android How to Sign a PDF on Android

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