Form: Motion to intervene 2026

1. Click ‘Get Form’ to open the Motion to Intervene in the editor.
2. Begin by entering the WID number and the date(s) of claimed injury in the designated fields. Ensure you use the MM/DD/YYYY format for accuracy.
3. In section 1, specify the disputes you are intervening in by filling in the relevant claim petition or request dates.
4. Provide your name as the applicant in section 2, confirming your statutory right to intervene under Minnesota Statutes § 176.361.
5. Attach an exhibit itemizing charges for services provided or payments made on behalf of the employee, detailing dates and total claims.
6. Complete section 5 with your representative's contact information, ensuring they have authority to settle on behalf of your entity.
7. Finally, sign and date the form at the bottom, providing your printed name, title, mailing address, email address, and phone number.

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