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25012502
Attorney Leave Request
*
Indicates Required Field
WORKERS' COMPENSATION COMMMISSION AND COURT OF EXISTING CLAIMS
ATTORNEY LEAVE REQUEST
*
Attorney Name:
*
Attorney Bar #:
*
Email Address:
*
Leave Requested for the Following Dates:
* This leave request will only apply to cases in which you are
listed as the attorney of record
.
* Please make requests 7 weeks in advance and
include Friday dates
if part of the leave.
* Requests exceeding a total of 2 weeks consecutively must be approved by the Chief ALJ &
Presiding CEC Judge.
*
Printed Name:
*
Date:
This request will be submitted directly to the WCC Docketing Division. It can be also be submitted by mail or delivered directly to:
Workers' Compensation Commission
Attn: WCC Docketing Division
1915 N. Stiles Avenue
Oklahoma City, OK 73105
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