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West virginia petition 2025

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The document is a petition for a stay of payment regarding an Administrative Law Judge (ALJ) decision, requiring the claimant's information, case ID, ALJ name, decision date, and award details. It includes a section for arguments supporting or opposing the stay and must be submitted by a representative of either the employer, claimant, or carrier. The petitioner must also verify that copies were sent to the opposing party.

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Click ‘Get Form’ to open the West Virginia Petition in the editor.
Begin by entering the Claimant Name and OOJ Case ID# in the designated fields. Ensure that this information is accurate as it identifies your case.
Next, fill in the ALJ NAME and Decision Date. This information is crucial for referencing the specific decision you are contesting.
In the Award Made section, provide a detailed description of the award that was granted. This helps clarify what you are seeking to stay.
Attach any arguments for or against granting a stay directly to this form. Use our platform’s attachment feature to ensure all documents are included.
Complete the Submitted by section by printing your name and indicating whether you represent the Employer, Claimant, or Carrier.
Finally, verify that a copy of this form and any attachments has been submitted to the opposing side on the same date. Sign where indicated and include any necessary CCs.

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