![]() ![]() These are specifically for use with the existing battletech figures on the workshop.Īlso, on the table with the record sheets is a proposed way of tracking damage while the devs are working on fixing the sizing issued with the vector draw tool. This does, however, include two surprise mechs, the Urbanmech and the Crab. This does not include the Mad Cat and Battlemaster. Insurance Carrier / Self-Insurer Contact Listing: these individuals can be contacted by judicial staff and attorneys where there has been no appearance or formal response made by the carrier or their counsel on pending Motions for Medical and Temporary Benefits.Record sheets for the original Succession War era mechs in the most recent BattleThey ech Starter box. Insurance Carrier Contact form (online) : this form to designate a contact person must be completed by every insurance carriers and self-insurer authorized to do business in NJ. Report of Non-Compliance (online): this form may be used by any individual or organization to report allegations of failure on the part of an employer to maintain workers' compensation insurance coverage or obtaining authorization to self-insure. Request for Records Inspection: this form must be completed and signed before the Division can release records. The form must be signed by the firm's Contact Person prior to submitting. This form must be signed by both the subscriber and the firm’s Contact Person prior to submitting.ĬOURTS on-line Subscriber Change Form (fillable) : this form needs to be completed if an existing COURTS on-line subscriber has had a change to their name or e-mail address or if their e-filing access level request has changed. Subscriber Application only (fillable) : this form needs to be completed if a law firm, insurance carrier or self-insured is interested in adding an additional subscriber to access COURTS on-line and the firm has already established a Contact Person with the Division. Package contains both the Designation of Contact form and Subscriber application form. Order for Total Disability with SIF (fillable)Īddendum to Order for Total Disability (fillable)ĮLECTRONIC CALENDARS, COURTS ON-LINE AND ELECTRONIC FILING FORMSĪttorney Calendar E-mail Program application (fillable) : this form initiates the transmission of "Attorney Calendar" scheduling notices via e-mail to designated e-mail address(es).ĬOURTS on-line Internet Access Application (fillable) : this application package needs to be completed if a law firm, insurance carrier or self-insured is interested in accessing COURTS on-line, the Division's on-line case management website. Order for Total Disability with SS Offset (fillable) 34:15-20ĭecision of Dismissal (Second Injury Fund) Order for Distribution of Temporary Award (for child support)Īffidavit of Dependent in Support of Settlement Under N.J.S.A. Order for Distribution (for child support) Order Approving Settlement under NJSA 34:15-20: (fillable) (page 1 and 2) Generic Order (for Miscellaneous Decisions, Motions, etc.) (fillable) Judgment / Order Approving Settlement (fillable) (with Case Exhibit Listing) Second Injury Fund Information Review Sheet (fillable) This form can now be e-mailed to the individual district offices. Use the saved form as a template for future Adjournment Requests. Save the form onto your computer by hitting Save As. ** Open form and enter in your firm name and contact info. Request for Adjournment / Ready Hold - additional page Request for Adjournment / Ready Hold - page 1 (fillable) ![]() Standard respondent's occupational interrogatory form Respondent's Answer to Medical Claim Petition Respondent's Answer to Dependency Claim PetitionĪnswering Statement for Motion for Medical and/or Temporary Benefits (fillable) Respondent's Answer to Application for Review & Modification of Formal Award (can be used for Amended Answer) Respondent's Answer to Claim Petition (can be used for Amended Answer) Uninsured Employer's Fund Information Packet ![]() Medical Provider Application for Payment or Reimbursement of Medical Payment Second Injury Fund Verified Petition (fillable) Standard petitioner's occupational interrogatory form Notice of Motion for Temporary and/or Medical Benefits (fillable) Employee's Claim Petition (can be used for Amended CP)Įmployee's Claim Petition Supplemental PageĪpplication for Review or Modification of Formal Award (can be used for Amended ReOpener)ĭependency Claim Petition (can be used for Amended DCP)ĭependency Claim Petition To Convert Voluntary Tender to Formal Judgment ![]()
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