Oc 400 workers compensation: Fill out & sign online

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Click ‘Get Form’ to open the OC 400 form in the editor.
Begin by filling in your personal information, including your name, address, and Social Security number. Ensure accuracy as this information is crucial for your case.
Specify the date of injury or illness and select the appropriate checkboxes regarding your representation and claims under various laws.
In section A, indicate whether you have retained an attorney for all proceedings or specifically for an appeal. If substituting representation, complete the required fields.
Section B requires your attorney's details. They must confirm their agreement to represent you by signing and dating this section.
If applicable, complete section C for substitution of attorneys. Ensure that a copy of this notice is served on the former representative.
Finally, review all entries for completeness and accuracy before saving or printing the completed form.

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