Request to Appear at Stipulation Status Conference (SSC) by Telephone
This form must be filed via email at
oah.wcstipstatus@state.mn.us
no less than five
business days prior to the SSC, and served via email on opposing counsel. If your request
is granted, you will receive notification from OAH. If you do not receive such notification,
you must appear in-person at the SSC.
WID:
_____________________________________
Employee (name):
_____________________________________
Date of injury:
_____________________________________
Date of SSC:
_____________________________________
Attorney requesting to appear by phone: _____________________________________
Telephone number at which attorney can be reached during SSC:_________________
Email address:
_____________________________________
Basis for request to appear by telephone at SSC:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
I, _______________________________, hereby certify that my office and client are
not in any way responsible for the delay in the finalization of the stipulation, which
includes serving all known potential intervenors with notice of their right to intervene
prior to the matter being settled.
I therefore request to appear at the SSC by
telephone. I understand that failure to be available at the time of the SSC may result
in sanctions. I further attest that this matter has been served on the opposing
attorney(s), by email service, no less than five business days prior to the scheduled
SSC.
______________________
________________________________
Dated
Attorney for ______________________