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Click ‘Get Form’ to open the MOTION OBJECTION TO MOTION in the editor.
Begin by filling out the identifying information section. Enter the employee's last name, first name, and contact details including city, state, zip code, claims email, and phone number.
Next, provide the insurer or self-insurer's information. Include their name, mailing address, SBWC ID number, and contact details.
In the 'Action Requested' section, select whether you are submitting a motion or an objection. Specify who is making the request (Employee, Employer/Insurer, or Other Party) and outline the purpose of your motion or objection.
Complete the 'Entry of Appearance' section by certifying compliance with fee contract rules if applicable.
Finally, fill out the 'Certificate of Service' section to confirm that all parties have been notified. Include your printed name, signature, date, and contact information.

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