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Substitution of attorney form nj

New jersey attorney 2026

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The document is a form from the New Jersey Department of Labor's Division of Workers' Compensation, used for the substitution of an attorney in a workers' compensation claim. It includes sections for the claim petition number, parties involved, signatures of both the superseding and withdrawing attorneys, and requests for identification information such as Social Security numbers for record-keeping purposes.

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Click ‘Get Form’ to open the New Jersey Attorney form in the editor.
Begin by entering the Claim Petition Number(s) and District Office at the top of the form. This information is crucial for identifying your case.
In the 'Submitted by' section, input your name as the attorney and specify who you are representing under 'Attorney For'.
Fill in the Petitioner's name and Social Security Number accurately to ensure proper identification.
Next, indicate the Respondent's details, including their name and Social Security Number.
In the consent section, clearly state the name of the new attorney being substituted and confirm their representation.
Finally, both the Superseding Attorney and Withdrawing Attorney must sign and date the form. Include firm names, addresses, telephone numbers, and any relevant codes.

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