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FORM 9A 14-0017 (11/06) BEFORE THE IOWA WORKERS COMPENSATION COMMISSIONER File No. Claimant (Injury Date) VS. Employer Compliance File No. (REQUIRED) ORIGINAL NOTICE AND PETITION AND ORDER FOR PARTIAL
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How to Fill Out Original Notice and Petition:

01
Begin by entering your full name, address, and contact information at the top of the form.
02
Indicate the court name and jurisdiction where the original notice and petition will be filed.
03
Provide the case number, if available.
04
Clearly state the purpose of the notice and petition at the beginning. This may vary depending on the specific legal proceedings involved.
05
Include a detailed description of the facts and circumstances related to the case. Be concise and provide specific information to support your claims.
06
If applicable, outline any previous legal actions or court cases that are related to the current matter.
07
Specify the relief or remedy sought in the petition. Clearly describe what you are requesting from the court.
08
Sign and date the original notice and petition at the bottom. Make sure to include your full legal name and contact information again.
09
Make copies of the original notice and petition for your records and for serving the other parties involved in the case. These copies will be used to ensure that all parties are properly informed of the legal proceedings.

Who Needs Original Notice and Petition:

01
Individuals who are filing a lawsuit or legal action require an original notice and petition. This includes plaintiffs, or the individuals bringing the case to court, who initiate the legal proceedings.
02
Defendants, or individuals who are being sued, may also need to file a counter-notice and petition in response to the original notice and petition. This allows them to present their side of the case and raise any relevant issues.
03
Legal representatives, such as attorneys, may be involved in filling out the original notice and petition on behalf of their clients.
It is important to consult with an attorney or legal professional specific to your jurisdiction who can provide guidance and ensure that you correctly fill out the original notice and petition according to local laws and regulations.
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Original notice and petition is a legal document that initiates a court case and informs the parties involved about the details of the case.
The plaintiff or petitioner is required to file the original notice and petition in court.
Original notice and petition must be filled out accurately with all the relevant details of the case, including the names of the parties, the nature of the case, and the relief sought.
The purpose of original notice and petition is to officially commence a court case and provide notice to the defendant or respondent.
The original notice and petition must include the names of the parties, a brief description of the case, the legal basis for the lawsuit, and the relief sought.
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