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Department of Labor and Industry Workers Compensation Division PO Box 64221 St. Paul, MN 551640221 (651) 2845032 or 18003425354 Fax: (651) 2845731Attorney Request for Certification of DisputeCA0022PRINT

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What is attorney request for?

Attorney request is for requesting legal representation or counsel.

Who is required to file attorney request for?

Individuals who need legal representation or counsel.

How to fill out attorney request for?

To fill out attorney request, provide personal information, legal issue, and desired outcome.

What is the purpose of attorney request for?

The purpose of attorney request is to seek legal assistance or advice.

What information must be reported on attorney request for?

Information such as personal details, legal issue, and contact information.

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