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Wisconsin Third Party Proceeds Distribution for Workers' Compensation

State:
Wisconsin
Control #:
WI-WKC170-WC
Format:
Word; 
PDF; 
Rich Text
Instant download
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Public form

Description

This Third Party Proceeds Distribution is one of the official workers' compensation forms for the the state of Wisconsin. This Official Workers' Compensation form is fillable in pdf and Word format. ThisThird Party Proceeds Distribution complies with all applicable statutory requirements.

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Wisconsin Third Party Proceeds Distribution for Workers' Compensation